Individual
DR. JACLYN BECKMANN DEVINE
Active
Individual
DR. JACLYN BECKMANN DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
Primary
9522
MA
103TC2200X
Clinical Child & Adolescent Psychologist
9522
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID #
NY
01
—
1285628552
AGENCY NPI
NY
Enumeration date
12/14/2006
Last updated
03/25/2026
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