Active NPIIndividual provider

Dr. Jessica Larsen, PHD

Psychologist, Clinical in Hoboken, New Jersey

NPI Number1083068480
Practice location
501 9TH St Apt 511, Hoboken, NJ 07030-2187
Fax
—
Last updated
May 10, 2017

Jessica Larsen is a Psychologist, Clinical based in Hoboken, NJ. Jessica Larsen practices in Hoboken, NJ and has the professional credentials of PHD. The NPI Number for Jessica Larsen is 1083068480 and holds a License No. 1261 (OK). The current practice location address for Jessica Larsen is 501 9TH St Apt 511, Hoboken, NJ 07030-2187 and can be reached out via phone at 646-498-0997.

Provider Profile Details

NPI Number
1083068480
Provider Name
Jessica Larsen
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
501 9TH St Apt 511, Hoboken, NJ 07030-2187
Phone Number
646-498-0997
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
April 21, 2016
Last Update Date
May 10, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
501 9TH St Apt 511
Hoboken, NJ 07030-2187
Zip
07030-2187
Phone Number
646-498-0997
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
501 9TH St Apt 511
Hoboken, NJ 07030-2187
City
Hoboken
State
NJ
Zip
07030-2187
Phone Number
646-498-0997

License Information

License Number (1)
1261
License State (1)
OK
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
5659
License State (2)
NJ
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary
License Number (3)
21856
License State (3)
NY
Taxonomy (3)
Psychologist, Clinical · 103TC0700X

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 Dr. Jessica Larsen, PHD?

The NPI number of Dr. Jessica Larsen, PHD is 1083068480. It was assigned on April 21, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Jessica Larsen, PHD?

Dr. Jessica Larsen, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in OK under license number 1261.

Where does Dr. Jessica Larsen, PHD practice?

The practice location is 501 9TH St Apt 511, Hoboken, NJ 07030-2187. The office can be reached at 646-498-0997 (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 1083068480 directly on the NPPES registry website.

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