Jessica Poulsen, PHD, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JESSICA POULSEN, PHD, PC

Practice address

867 Boylston St FL 5Th11755
Boston, MA 02116-2774

Phone

(508) 203-1521

NPI assigned

Oct 15, 2024

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Poulsen, PHDNPI 1457702276

Title

Clinical Psychologist

Phone

(508) 203-1521

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Poulsen, PHD

  • Clinical Psychologist
  • Boston, MA
  • NPI 1457702276
  NPD Authorized official

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1164242137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 BOYLSTON ST FL 5TH11755",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162774",
            "telephone_number": "508-203-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 BOYLSTON ST FL 5TH11755",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162774",
            "telephone_number": "508-203-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA POULSEN, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "POULSEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "508-203-1521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rinath M Jeselsohn, M.D.
• Kyle Niels Jespersen
• Jessi Naff, LMHC Inc.
• Jessica Lau DMD PLLC
• Jessica Moy Wellness LLC
• Maryam Jessri, D.D.S, PH.D
• Samuel Jessula, MD
• Chad Jason Jessup, M.D.
• Vanika Jethwa, LD/RD
• Hannah Jette

• Clinical Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.