Healthcare Provider Details

I. General information

NPI: 1932025616
Provider Name (Legal Business Name): NEW ENGLAND PSYCHOLOGICAL TESTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ORISSA DR
ORLEANS MA
02653
US

IV. Provider business mailing address

1 ORISSA DR
ORLEANS MA
02653
US

V. Phone/Fax

Practice location:
  • Phone: 774-470-0536
  • Fax:
Mailing address:
  • Phone: 914-960-7605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DANIEL JURELLER
Title or Position: PSYCHOLOGIST
Credential:
Phone: 914-960-7605