Individual provider · Type 1 NPI

Jacob Matthew Patkin

Counselor · Watertown, MA

NPI number 1104528942 Active

Practice location

521 Mount Auburn St Ste 205
Watertown, MA 02472-4153

Mailing address

41 Ossipee Rd Apt 1
Somerville, MA 02144-1609

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104528942

Jacob Matthew Patkin's National Provider Identifier is 1104528942, issued on Mar 17, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Watertown, MA. The record was last updated on Sep 26, 2025.