Healthcare Provider Details

I. General information

NPI: 1568384451
Provider Name (Legal Business Name): JAMIE MCNAMARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 THELMA WAY
SCITUATE MA
02066-2818
US

IV. Provider business mailing address

86 THELMA WAY
SCITUATE MA
02066-2818
US

V. Phone/Fax

Practice location:
  • Phone: 617-921-3164
  • Fax:
Mailing address:
  • Phone: 617-921-3164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10005789
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: