Active NPI
Jean Curtis Loud, ED.D.
- Counseling Psychologist
- Oak Bluffs, MA
National Provider Identifier
1033650908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2459-PY PR
- Practice address
- 17 East Chop Drive
Oak Bluffs, MA 02557 - Phone
- (508) 627-0584
- NPI assigned
- Mar 13, 2017
- Last updated
- Mar 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 2459- PY PR | MA | |
| Counseling Psychologist | 103TC1900X | 2459-PY PR | MA | Primary |
| Counseling Psychologist | 103TC1900X | 2459- PY PR | MA |
Addresses
Primary practice location
17 East Chop Drive
Oak Bluffs, MA 02557
Mailing address
PO Box 1113
Oak Bluffs, MA 02557-1113
Phone (508) 627-0584
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2459- PY PR | MA | MD | Counseling Psychologist |
| 2459-PY PR | MA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1033650908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1113",
"city": "OAK BLUFFS",
"state": "MA",
"postal_code": "025571113",
"telephone_number": "508-627-0584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 EAST CHOP DRIVE",
"city": "OAK BLUFFS",
"state": "MA",
"postal_code": "02557",
"telephone_number": "508-627-0584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUD",
"first_name": "JEAN",
"middle_name": "CURTIS",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-13",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "2459- PY PR",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "2459-PY PR",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "2459- PY PR",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Bluffs, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.