Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Theodore Jasnos, PHD

Individual provider Clinical Neuropsychologist · NPI 1336203652

Dr. Theodore Jasnos, PHD is a Clinical Psychologist in Gardner, Massachusetts. Qualified in 1970, 56 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
56
Licensed in
MA
In the registry since
2006
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

31 Lake St North Central Human Services
Gardner, MA 01440-3879
Phone: (978) 632-9400
Fax: (978) 632-6425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychoanalysis Psychologist (primary) Taxonomy 103TP0814X · Licence 1805 (MA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 1805 (MA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1805 (MA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 1805 (MA)

Record details

NPI number1336203652
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 21, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address7 Cedar St, Clinton, MA 01510-2206

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Gardner