Jessica Thorpe Eddins, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY1001190 Issued in DC

Practice address

611 D St SE Unit 1
Washington, DC 20003-2099

Phone

(202) 417-8929

NPI assigned

Jan 17, 2023

Last updated

Jan 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1265147037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 H ST NE UNIT 823",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023627",
            "telephone_number": "202-417-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 D ST SE UNIT 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032099",
            "telephone_number": "202-417-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDINS",
        "first_name": "JESSICA",
        "middle_name": "THORPE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1001190",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05784",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810007419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ecwellness LLC (Expertly Crafted Wellness)
• Edcompliance Solutions, LLC
• Laquita Renee Eddie, HOME HEALTH AIDE
• Galeb Eddin
• Angelica Eddington, PH.D.
• Bethany Betty-Ruth Eddleman
• Brittany Eddowes
• Linita Eddy-Montgomery
• Lakeethia Eddy
• Somtochi Annemarie Edeh, MD

• Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.