Tessera Psychology Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

TESSERA PSYCHOLOGY SERVICES LLC

Practice address

22 Carriage LN
South Hadley, MA 01075-2198

Phone

(508) 656-0413

Fax

(413) 707-1212

NPI assigned

Feb 2, 2021

Last updated

Feb 2, 2021By 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. Jamelle Greene, PHDNPI 1306107222

Title

Director

Phone

(508) 656-0413

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.

• Jamelle Gardine Greene, PHD

  • Clinical Psychologist
  • South Hadley, MA
  • NPI 1306107222
  NPD Authorized official

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1245821081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CARRIAGE LN",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752198",
            "telephone_number": "508-656-0413",
            "fax_number": "413-707-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CARRIAGE LN",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752198",
            "telephone_number": "508-656-0413",
            "fax_number": "413-707-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSERA PSYCHOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "JAMELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-656-0413",
        "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": []
}

• Irene Murphy Sullivan, M. S., P. T.
• Courtney R Supple, LCSW
• Julie Tanguay
• Melissa Tapp, OTR/L
• Simon Taylor, LICSW
• Joannah Thai
• The Pain Relief and Wellness Center of South Hadley
• Caitlin Burbridge Thunfors, PH.D.
• Lisa Ann Tierney, PT
• Jennifer Ellen Tisdell

• Clinical Psychologist in South Hadley, MA
• Providers in South Hadley, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.