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

Jennifer Blossom, MS

Individual provider Clinical Child & Adolescent Psychologist · NPI 1063947299

Jennifer Blossom, MS is a Clinical Psychologist in Augusta, Maine. Qualified in 2018, 8 years ago. Licensed in Maine.

Years since qualifying
8
Licensed in
ME
In the registry since
2017
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

6 E Chestnut St
Augusta, ME 04330-5758
Phone: (207) 623-2977
Fax: (207) 623-9374
Show map & directions

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

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence PS2514 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063947299
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedApril 25, 2017
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare