Active NPI
Jennifer Susan Pohot, MSPSY
- Health Service Psychologist
- Wickenburg, AZ
National Provider Identifier
1346836772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- Practice address
- 620 Chaparral
Wickenburg, AZ 85390-1318 - Phone
- (928) 231-3361
- NPI assigned
- Dec 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | Primary |
Addresses
Primary practice location
620 Chaparral
Wickenburg, AZ 85390-1318
Mailing address
620 Chaparral
Wickenburg, AZ 85390-1318
Phone (928) 231-3361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000 | Other | BEHAVIORAL COACH |
Other names 1
- Mrs. Jennifer Susan Pohot
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | oreanamason@hotmail.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608422400000",
"number": "1346836772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 CHAPARRAL",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853901318",
"telephone_number": "928-231-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CHAPARRAL",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853901318",
"telephone_number": "928-231-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POHOT",
"first_name": "JENNIFER",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "MSPSY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-20",
"last_updated": "2020-12-20",
"certification_date": "2020-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL COACH",
"identifier": "000",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oreanamason@hotmail.com",
"affiliation": "N",
"endpointDescription": "Home office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "620 Chaparral",
"city": "Wickenburg",
"state": "AZ",
"country_code": "US",
"postal_code": "853901318",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "POHOT",
"middle_name": "SUSAN",
"prefix": "MRS.",
"credential": "MS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Wickenburg, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.