- Practice location
- 73 Center St, Rutland, VT 05701-4046
- Phone
- 802-747-3488
- Fax
- 802-747-0006
- Last updated
- September 11, 2025
Jacquelyn Ellen Bode is a Psychologist based in Rutland, VT. Jacquelyn Ellen Bode practices in Rutland, VT and has the professional credentials of MED. The NPI Number for Jacquelyn Ellen Bode is 1780782375 and holds a License No. 291 (VT). The current practice location address for Jacquelyn Ellen Bode is 73 Center St, Rutland, VT 05701-4046 and can be reached out via phone at 802-747-3488 and via fax at 802-747-0006.
Provider Profile Details
- NPI Number
- 1780782375
- Provider Name
- Jacquelyn Ellen Bode
- Credential
- MED
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 73 Center St, Rutland, VT 05701-4046
- Phone Number
- 802-747-3488
- Fax Number
- 802-747-0006
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 73 Center St
Rutland, VT 05701-4046 - City
- Rutland
- State
- Vermont
- Zip
- 05701-4046
- Phone Number
- 802-747-3488
- Fax Number
- 802-747-0006
Provider Business Mailing Address Details
- Address
- 73 Center St
Rutland, VT 05701-4046 - City
- Rutland
- State
- VT
- Zip
- 05701-4046
- Phone Number
- 802-747-3488
- Fax Number
- 802-747-0006
License Information
- License Number (1)
- 291
- License State (1)
- VT
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 269
- License State (2)
- VT
- Taxonomy (2)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologists near Rutland, VT
View all Psychologists in Rutland →Frequently Asked Questions
What is the NPI number of Jacquelyn E Bode, MED?
The NPI number of Jacquelyn E Bode, MED is 1780782375. It was assigned on September 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Jacquelyn E Bode, MED?
Jacquelyn E Bode, MED is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in VT under license number 291.
Where does Jacquelyn E Bode, MED practice?
The practice location is 73 Center St, Rutland, VT 05701-4046. The office can be reached at 802-747-3488 (phone) or 802-747-0006 (fax).
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 1780782375 directly on the NPPES registry website.