Active NPIIndividual provider

Dr. Jessica Poulsen, PHD

Psychologist, Clinical in Boston, Massachusetts

NPI Number1457702276
Practice location
867 Boylston St Fl 5TH-175, Boston, MA 02116-2774
Fax
—
Last updated
July 8, 2024

Jessica Poulsen is a Psychologist, Clinical based in Boston, MA. Jessica Poulsen practices in Boston, MA and has the professional credentials of PHD. The NPI Number for Jessica Poulsen is 1457702276 and holds a License No. PSY33753 (CA). The current practice location address for Jessica Poulsen is 867 Boylston St Fl 5TH-175, Boston, MA 02116-2774 and can be reached out via phone at 508-203-1521.

Provider Profile Details

NPI Number
1457702276
Provider Name
Jessica Poulsen
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
867 Boylston St Fl 5TH-175, Boston, MA 02116-2774
Phone Number
508-203-1521
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2016
Last Update Date
July 8, 2024
Certification Date
July 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
867 Boylston St Fl 5TH-175
Boston, MA 02116-2774
City
Boston
Zip
02116-2774
Phone Number
508-203-1521
Boston, MA 02116Get directions →

Provider Business Mailing Address Details

Address
867 Boylston St Fl 5TH-175
Boston, MA 02116-2774
City
Boston
State
MA
Zip
02116-2774
Phone Number
508-203-1521

License Information

License Number
PSY33753
License State
CA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

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 Poulsen, PHD?

The NPI number of Dr. Jessica Poulsen, PHD is 1457702276. It was assigned on June 22, 2016 and is currently active in the NPPES registry.

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

Dr. Jessica Poulsen, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CA under license number PSY33753.

Where does Dr. Jessica Poulsen, PHD practice?

The practice location is 867 Boylston St Fl 5TH-175, Boston, MA 02116-2774. The office can be reached at 508-203-1521 (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 1457702276 directly on the NPPES registry website.

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