Active NPI
Jada Marie Khosla, M.D.
- Psychiatry Physician
- Montpelier, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 042.0017261
- Practice address
- 147 State St
Montpelier, VT 05602-3301 - Phone
- (802) 321-3692
- Fax
- (833) 450-5181
- NPI assigned
- Apr 8, 2007
- Last updated
- Oct 11, 2023
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 042.0017261 | VT | Primary |
Addresses
Primary practice location
147 State St
Montpelier, VT 05602-3301
Mailing address
195 Vincent Flats Rd
East Montpelier, VT 05651-4070
Phone (646) 361-2659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, OR, WA, NY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Vermont College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
147 State St
Montpelier, VT 05602-3301
Phone (802) 321-3692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Integrative Healing PLLC | Psychiatry | Current | Accepting new patients |
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Barnabas Health Medical Group, PC | Current | Accepting new patients | |
| State Street TMS | Psychiatry | Current | Accepting new patients |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients |
Locations
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
147 State St
Montpelier, VT 05602
Phone (802) 321-3692
147 State St
#1
Montpelier, VT 05602
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Montpelier, VT
- NPI 1588347421
-
- Specialist
- West Orange, NJ
- NPI 1447206420
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1457474272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 VINCENT FLATS RD",
"city": "EAST MONTPELIER",
"state": "VT",
"postal_code": "056514070",
"telephone_number": "646-361-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 STATE ST",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056023301",
"telephone_number": "802-321-3692",
"fax_number": "833-450-5181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOSLA",
"first_name": "JADA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-08",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "042.0017261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.