Individual provider Active NPI

Jamie Bilbrough

  • School Psychologist
  • Wyoming, DE
National Provider Identifier
1013636588
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
7439472 Issued in PA
Practice address
3 W Camden Wyoming Ave
Wyoming, DE 19934-1115
Phone
(302) 222-4048
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7439472PAMDSchool Psychologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 7439472 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

3 W Camden Wyoming Ave
Wyoming, DE 19934-1115

Mailing address

3 W Camden Wyoming Ave
Wyoming, DE 19934-1115
Phone (302) 222-4048

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2022.

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1013636588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W CAMDEN WYOMING AVE",
            "city": "WYOMING",
            "state": "DE",
            "postal_code": "199341115",
            "telephone_number": "302-222-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W CAMDEN WYOMING AVE",
            "city": "WYOMING",
            "state": "DE",
            "postal_code": "199341115",
            "telephone_number": "302-222-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILBROUGH",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "7439472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.