Active NPI
Jessica Tamulonis, PH.D.
- Counseling Psychologist
- Brattleboro, VT
National Provider Identifier
1386351104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 1 Anna Marsh Lane
Brattleboro, VT 05302 - Phone
- (802) 275-3165
- Fax
- (802) 258-3743
- NPI assigned
- Nov 1, 2022
- Last updated
- Nov 1, 2022
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | NU | Primary |
Addresses
Primary practice location
1 Anna Marsh Lane
Brattleboro, VT 05302
Mailing address
PO Box 751
Bolton Landing, NY 12814-0751
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jtamulonis@brattlebororetreat.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Retreat | Current | Accepting new patients | |
| Brattleboro Retreat | Past | Accepting new patients |
Locations
1 Anna Marsh Ln
Dummerston, VT 05301
22 Anna Marsh Ln
Dummerston, VT 05301
Phone (802) 258-3700
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric Hospital
- Brattleboro, VT
- NPI 1730185232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1386351104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751",
"city": "BOLTON LANDING",
"state": "NY",
"postal_code": "128140751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ANNA MARSH LANE",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "05302",
"telephone_number": "802-275-3165",
"fax_number": "802-258-3743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMULONIS",
"first_name": "JESSICA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jtamulonis@brattlebororetreat.org",
"affiliation": "N",
"endpointDescription": "encrypted email",
"address_1": "1 Anna Marsh Lane",
"city": "Brattleboro",
"state": "VT",
"country_code": "US",
"postal_code": "05302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.