=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780556621
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FORESIGHT PSYCHOLOGY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2025
-----------------------------------------------------
Last Update Date | 09/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 66 FAIRVIEW ST
-----------------------------------------------------
City | WESTWOOD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02090-1238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-680-5488
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 84 W BROADWAY STE 200
-----------------------------------------------------
City | DERRY
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03038-2323
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-680-5488
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER, CHIEF PSYCHOLOGIST
-----------------------------------------------------
Name | ALAN S JACOBSON
-----------------------------------------------------
Credential | PSY.D.
-----------------------------------------------------
Telephone | 617-680-5488
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------