Jessica L. Pishney, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5485 Issued in MN

Practice address

3033 Campus Dr Ste W225
Plymouth, MN 55441-2752

Phone

(999) 999-9999

NPI assigned

Dec 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor on Demand Professionals of CaliforniaGroup PAC ID 6406161538, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.pishney.1@30520.direct.athenahealth.com

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.

• Doctor on Demand Professionals of California

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1346658614
  Medicare reassignment Care Compare group NPD
• Pasadena Clinical Group, a Psychology Corporation

  • Psychologist
  • Pasadena, CA
  • NPI 1790213247

  Clinical

  NPD (past)

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1386974194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 CAMPUS DR STE W225",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 CAMPUS DR STE W225",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412752",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISHNEY",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "680003367",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Pierson, MA, LMFT
• Katlin Ann Pieters
• Kara Elaine Pilon Reil, M.A., LPCC
• Pinnacle Chiropractic and Acupuncture, PA
• Pinnacle Dermatology, SC
• Laron Ploederer, D.C.
• Jacob Plummer
• Plymouth Chirocenter LLC
• Plymouth Dental Care PC
• Plymouth Family Dentistry, LLC

• Clinical Psychologist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.