Active NPIIndividual provider

Jessamine Martin, PSYD

Psychologist, Clinical in Harrisburg, Pennsylvania

NPI Number1033567599
Practice location
2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378
Fax
—
Last updated
March 25, 2021

Jessamine Martin is a Psychologist, Clinical based in Harrisburg, PA. Jessamine Martin practices in Harrisburg, PA and has the professional credentials of PSYD. The NPI Number for Jessamine Martin is 1033567599 and holds a License No. PS018877 (PA). The current practice location address for Jessamine Martin is 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 and can be reached out via phone at 800-370-3651.

Provider Profile Details

NPI Number
1033567599
Provider Name
Jessamine Martin
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378
Phone Number
800-370-3651
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
May 25, 2016
Last Update Date
March 25, 2021
Certification Date
March 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2595 Interstate Dr Ste 103
Harrisburg, PA 17110-9378
Zip
17110-9378
Phone Number
800-370-3651
Harrisburg, PA 17110Get directions →

Provider Business Mailing Address Details

Address
1480 Boston Post RD
Old Saybrook, CT 06475-1750
City
Old Saybrook
State
CT
Zip
06475-1750
Phone Number
800-370-3651
Fax Number
877-515-7147

License Information

License Number (1)
PS018877
License State (1)
PA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
10865
License State (2)
NE
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessamine Martin, PSYD?

The NPI number of Jessamine Martin, PSYD is 1033567599. It was assigned on May 25, 2016 and is currently active in the NPPES registry.

What is the specialty of Jessamine Martin, PSYD?

Jessamine Martin, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PA under license number PS018877.

Where does Jessamine Martin, PSYD practice?

The practice location is 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378. The office can be reached at 800-370-3651 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033567599 directly on the NPPES registry website.

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