Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE JASNOS, PH.D.
Active Sole ProprietorDR. THEODORE JASNOS, PH.D. is a Psychoanalysis (Psychologist) healthcare provider located in GARDNER, Massachusetts. NPI 1336203652 is currently active in the NPPES registry. Verify at CMS.
Psychoanalysis (Psychologist) · GARDNER, MA
Registration Details
- NPI Number
- 1336203652
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2006 (19.61424153098 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
1805 (MA)1805 (MA)1805 (MA)1805 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31 LAKE STNORTH CENTRAL HUMAN SERVICESGARDNER, MA, 014403879Browse MA providers · Browse ZIP 01440
- Phone
- 9786329400
- Fax
- 9786326425
- Primary Specialty
-
Psychoanalysis (Psychologist)
103TP0814X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Child, Clinical Psychologist
- Additional Specialty
- Psychoanalysis (Psychologist)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.