Jocelyn Tello PSYD Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PY00003900 Issued in WA

Legal business name

JOCELYN TELLO PSYD INC

Practice address

400 E Evergreen Blvd
Suite 313
Vancouver, WA 98660-3331

Phone

(360) 931-0605

Fax

(360) 859-4533

NPI assigned

Jan 27, 2014

Last updated

Jan 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jocelyn Tello, PSYDNPI 1982882833

Title

Owner

Phone

(360) 931-0605

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jocelyn Amanda Tello, PSYCHOLOGIST

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1982882833
  NPD (past) Authorized official

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1437572450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD",
            "address_2": "SUITE 313",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603331",
            "telephone_number": "360-931-0605",
            "fax_number": "360-859-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD",
            "address_2": "SUITE 313",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603331",
            "telephone_number": "360-931-0605",
            "fax_number": "360-859-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOCELYN TELLO PSYD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "TELLO",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-931-0605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "PY00003900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.