Active NPIIndividual provider

John P Jessup, PSYCHOLOGIST, MA

Psychologist, Clinical in Rutland, Vermont

NPI Number1518300144
Practice location
1085 US Route 4 E Ste 2A, Rutland, VT 05701-8007
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
State
Vermont
Zip
05701-8007
Phone Number
802-417-2067
Rutland, VT 05701Get directions →

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
License Number (2)
047.0123038
License State (2)
VT
Taxonomy (2)
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 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.

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