Individual provider Active NPI

Johanna Rich Tesman, PHD.

  • Clinical Child & Adolescent Psychologist
  • Carlisle, PA
National Provider Identifier
1346768074
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PS008357L Issued in PA
Practice address
1200 Walnut Bottom Rd Ste 311
Carlisle, PA 17015-7766
Phone
(717) 243-1511
Fax
(717) 243-1530
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PS008357L PA Primary

Addresses

Primary practice location

1200 Walnut Bottom Rd Ste 311
Carlisle, PA 17015-7766

Mailing address

1200 Walnut Bottom Rd Ste 311
Carlisle, PA 17015-7766
Phone (717) 243-1511

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS008357LPAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Valley Counseling Associates PC CurrentSince Jul 24, 2022 Accepting new patients

Locations

1200 Walnut Bottom Rd
Ste 311
Carlisle, PA 17015
Phone (717) 243-1511

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346768074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WALNUT BOTTOM RD STE 311",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157766",
            "telephone_number": "717-243-1511",
            "fax_number": "717-243-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WALNUT BOTTOM RD STE 311",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157766",
            "telephone_number": "717-243-1511",
            "fax_number": "717-243-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESMAN",
        "first_name": "JOHANNA",
        "middle_name": "RICH",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS008357L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.