Jean Elizabeth Reinsborough, M.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

629 Issued in VT

Practice address

3 Main St
Suite 107
Burlington, VT 05401-5216

Phone

(802) 651-7508

Fax

(802) 862-9158

NPI assigned

Jan 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326194572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JOHNNIE BROOK RD",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054779561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAIN ST",
            "address_2": "SUITE 107",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015216",
            "telephone_number": "802-651-7508",
            "fax_number": "802-862-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINSBOROUGH",
        "first_name": "JEAN",
        "middle_name": "ELIZABETH",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005493",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hibba Tul Rehman, MD
• Diana Keir Reilly, M.S.
• Thomas Peter Reilly, PHD
• Zoe Reilly, LICSW
• Krista MD Reincke, LICSW
• Maximilian Reisinger, MD
• David A Reisman, M.D.
• Katherine Reitz, MS OTR/L
• Julia Marie Rembetsy-Brown, DO
• Renascent Laboratories LLC

• Clinical Psychologist in Burlington, VT
• Providers in Burlington, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.