Jamie A Jessar, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS006134L Issued in PA

Practice address

300 E Lancaster Ave Ste 306B
Wynnewood, PA 19096-2106

Phone

(610) 747-0653

Fax

(215) 254-2599

NPI assigned

Jun 15, 2006

Last updated

Feb 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1437193950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 MORENO RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961121",
            "telephone_number": "610-747-0653",
            "fax_number": "215-257-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE STE 306B",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962106",
            "telephone_number": "610-747-0653",
            "fax_number": "215-254-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 E Athens Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "PA",
            "postal_code": "190032115",
            "country_code": "US",
            "telephone_number": "610-747-0653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESSAR",
        "first_name": "JAMIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006134L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Asa Jamison, D.C.
• Aileen J Jasko Joyce, CRNP
• Jedward Pckering,Facc
• Michael Jen, DO
• Myrna Jersild
• Kelli Joerger, PA-C
• Ruth Tomases Joffe, PH.D.
• Kathleen 'Kelly' Marie Johnson Donohue, PH.D.
• Nancy Johnson
• Tyler Johnson, PHARM.D.

• Clinical Psychologist in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.