Individual provider Active NPI

Jessica Terrizzi, PHD

  • Psychologist
  • Wyckoff, NJ
National Provider Identifier
1033062104
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00790300 Issued in NJ
Practice address
239 Madison Ave
Wyckoff, NJ 07481-1948
Phone
(201) 669-1369
NPI assigned
Feb 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00790300 NJ Primary

Addresses

Primary practice location

239 Madison Ave
Wyckoff, NJ 07481-1948

Mailing address

40 Powderhorn Dr
Kinnelon, NJ 07405-2933
Phone (201) 669-1369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 27, 2026 through Apr 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00790300NJMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1033062104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 POWDERHORN DR",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052933",
            "telephone_number": "201-669-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MADISON AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811948",
            "telephone_number": "201-669-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRIZZI",
        "first_name": "JESSICA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00790300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

Verify at the official NPI Registry.