Jessica Marie Hussar Boyle, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

023416 Issued in NY

Practice address

269 Riverside Dr
Johnson City, NY 13790-2726

Phone

(607) 252-6634

Fax

(607) 203-5720

NPI assigned

Sep 13, 2012

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 identifiers 3

Other names 1

• Dr. Jessica Marie Hussar Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Noyes Mental Health Clinic

  • Psychiatric Hospital Unit
  • Dansville, NY
  • NPI 1033377742
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1306196738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HICKORY RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902726",
            "telephone_number": "607-252-6634",
            "fax_number": "607-203-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAR BOYLE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "023416",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "993174151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE NUMBER",
            "identifier": "023416",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCSP CERTIFICATION NUMBER",
            "identifier": "41401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL PSYCHOLOGIST STATE CERTIFICATION CONTROL NUMBER",
            "identifier": "993174151",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@confluencepsych.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "269 Riverside Dr",
            "city": "Johnson City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137902726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@confluencepsych.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23 Hickory Rd",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139051347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HUSSAR",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony B Hopkins, PHARMD
• Jodie Marie Howell, M.D.
• Gregory Alan Hritcko, MS
• Natalie Hurlburt, NP-C
• Nasir Hussain, MD
• Martha Hutchinson, NP
• Rachel Hutchison
• Chung Hwang, MD
• Jane Marie Hyland, M.A.
• Naeem Ijaz, MD

• Psychologist in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.