Individual provider Active NPI

Jessica Sypert, M.A., PSY.S.

  • School Psychologist
  • Reynoldsburg, OH
National Provider Identifier
1346664513
Registry record updated Feb 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
OH3083773 Issued in OH
Practice address
340 Waggoner Rd
Reynoldsburg, OH 43068-9707
Phone
(614) 501-5610
NPI assigned
Feb 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X OH3083773 OH Primary

Addresses

Primary practice location

340 Waggoner Rd
Reynoldsburg, OH 43068-9707

Mailing address

4878 Dierker Rd
Columbus, OH 43220-2945
Phone (614) 501-5610

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
OH3083773OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1391904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391904000000",
    "number": "1346664513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4878 DIERKER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202945",
            "telephone_number": "614-501-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WAGGONER RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689707",
            "telephone_number": "614-501-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYPERT",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "M.A., PSY.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-09",
        "last_updated": "2014-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "OH3083773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; 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.