Individual provider Active NPI

Jessica M Huett, PSY.D., HSPP

  • Clinical Psychologist
  • New Albany, IN
National Provider Identifier
1053616995
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042178A Issued in IN
Practice address
1501 State St
New Albany, IN 47150-4911
Phone
(812) 944-1550
NPI assigned
Jan 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20042178A IN Primary

Addresses

Primary practice location

1501 State St
New Albany, IN 47150-4911

Mailing address

1501 State St
New Albany, IN 47150-4911
Phone (812) 944-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140430002408 IN Practitioner - Clinical Psychologist 3274766027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2627 Charleston Rd
New Albany, IN 47150-2536
Phone (812) 944-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20042178AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Counseling and Psychotherapy Clinical CurrentSince Mar 29, 2014 Accepting new patients
Reynolds Family Eye Care, LLC PastSince May 22, 2022 Accepting new patients
Associates in Counseling and Psychtherapy Past Accepting new patients

Locations

2627 Charlestown Rd
New Albany, IN 47150
Phone (812) 944-1550

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1053616995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504911",
            "telephone_number": "812-944-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504911",
            "telephone_number": "812-944-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUETT",
        "first_name": "JESSICA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D., HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042178A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.