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

Jacqueline S Hogan, PHD

Individual provider Clinical Psychologist · NPI 1174148290

Jacqueline S Hogan, PHD is a Clinical Psychologist in Newburyport, Massachusetts. Qualified in 2024, 2 years ago. Works from 2 locations and offers telehealth. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

112 Parker St Ste 2A
Newburyport, MA 01950-4008
Phone: (978) 488-1364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 77 Elm St Ste 203, Amesbury, MA 01913-2503 — (978) 488-1364

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY10001658 (MA)

Record details

NPI number1174148290
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address112 Parker St Ste 2a, Newburyport, MA 01950-4008

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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