Jessica Rae Hart, PHD

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

PY61170219 Issued in WA

Practice address

1949 S State St
Tacoma, WA 98405-2818

Phone

(253) 328-3507

Fax

(253) 761-7577

NPI assigned

Jan 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Rae Cook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1265294995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 NETTLE DR SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665557",
            "telephone_number": "940-249-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 S STATE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052818",
            "telephone_number": "253-328-3507",
            "fax_number": "253-761-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Center St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973012682",
            "country_code": "US",
            "telephone_number": "940-249-6935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OR",
            "license": "3486",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "WA",
            "license": "PY61170219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "COOK",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Harrison-Weaver, MHE, OTR/L, CHT
• Benjamin Paul Harrison, MD
• Nicholas Scott Harrison, PA-C A,T.,C
• Janell Condon Harro, MD
• David Joel Harrowe, M.D.
• Kayesha Hart
• Lesley Anne Hart, PHD
• Ronald Murray Hart
• Wesley L Hart, MD
• Catherine A Hartjoy, PAC

• Forensic Psychologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Forensic Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.