Individual provider Active NPI

Jessica Marie Newland, PSY.D.

  • Clinical Psychologist
  • Lexington, KY
National Provider Identifier
1417186255
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
129207 Issued in KY
Practice address
713 Millpond Rd
Lexington, KY 40514-1570
Phone
(859) 780-3805
NPI assigned
Jul 14, 2009
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 129207 KY Primary

Addresses

Primary practice location

713 Millpond Rd
Lexington, KY 40514-1570

Mailing address

4143 Winnipeg CT
Lexington, KY 40515-5704
Phone (859) 333-2687

Other identifiers 1

IdentifierTypeStateIssuer
7100747780MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20110425000329 KY Practitioner - Clinical Psychologist 5092990747 Practice locations: Lexington, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129207KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurodiversity Consultants, LLC CurrentSince Jul 25, 2021 Accepting new patients
Communicare Inc Past Accepting new patients
Communicare Inc Past Accepting new patients
Whitten Psychological Services, PLLC. Past Accepting new patients

Locations

713 Millpond Rd
Lexington, KY 40514
Phone (859) 309-2877

Interoperability endpoints

  • Direct secure messaging: bbh.jessicanewland@140103.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1417186255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 WINNIPEG CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155704",
            "telephone_number": "859-333-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 MILLPOND RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141570",
            "telephone_number": "859-780-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWLAND",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "129207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100747780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.