Active NPI
Jessica Lynn Price, PSYD
- Clinical Psychologist
- White River Junction, VT
National Provider Identifier
1346618428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 048.0134939
- Practice address
- 215 N Main St
White River Junction, VT 05009-1114 - Phone
- (802) 295-9363
- NPI assigned
- Sep 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 048.0134939 | VT | Primary |
Addresses
Primary practice location
215 N Main St
White River Junction, VT 05009-1114
Mailing address
21 Midridge Cir
Londonderry, NH 03053-3348
Phone (603) 216-7335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048.0134939 | VT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1346618428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MIDRIDGE CIR",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533348",
"telephone_number": "603-216-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N MAIN ST",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050091114",
"telephone_number": "802-295-9363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "048.0134939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.