- Practice location
- 1085 US Route 4 E Ste 2A, Rutland, VT 05701-8007
- Phone
- 802-417-2067
- Fax
- —
- Last updated
- June 17, 2020
John Page Jessup is a Psychologist, Clinical based in Rutland, VT. John Page Jessup practices in Rutland, VT and has the professional credentials of PSYCHOLOGIST, MA. The NPI Number for John Page Jessup is 1518300144 and holds a License No. 047.0123038 (VT). The current practice location address for John Page Jessup is 1085 US Route 4 E Ste 2A, Rutland, VT 05701-8007 and can be reached out via phone at 802-417-2067.
Provider Profile Details
- NPI Number
- 1518300144
- Provider Name
- John Page Jessup
- Credential
- PSYCHOLOGIST, MA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1085 US Route 4 E Ste 2A, Rutland, VT 05701-8007
- Phone Number
- 802-417-2067
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Other Names
- -- Jack Jessup, MA, LP (Other Name)
- Provider Enumeration Date
- April 13, 2013
- Last Update Date
- June 17, 2020
- Certification Date
- June 17, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1085 US Route 4 E Ste 2A
Rutland, VT 05701-8007 - City
- Rutland
- State
- Vermont
- Zip
- 05701-8007
- Phone Number
- 802-417-2067
Provider Business Mailing Address Details
- Address
- 1085 Us-4 East
Suite 2A
Rutland, VT 05701 - City
- Rutland
- State
- VT
- Zip
- 05701
- Phone Number
- 802-417-2067
License Information
- License Number (1)
- 047.0123038
- License State (1)
- VT
- Taxonomy (1)
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- License Number (2)
- 047.0123038
- License State (2)
- VT
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Rutland, VT
View all Psychologist, Clinical providers in Rutland →Frequently Asked Questions
What is the NPI number of John P Jessup, PSYCHOLOGIST, MA?
The NPI number of John P Jessup, PSYCHOLOGIST, MA is 1518300144. It was assigned on April 13, 2013 and is currently active in the NPPES registry.
What is the specialty of John P Jessup, PSYCHOLOGIST, MA?
John P Jessup, PSYCHOLOGIST, MA is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 047.0123038.
Where does John P Jessup, PSYCHOLOGIST, MA practice?
The practice location is 1085 US Route 4 E Ste 2A, Rutland, VT 05701-8007. The office can be reached at 802-417-2067 (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 1518300144 directly on the NPPES registry website.