Active NPI
Beth Jerskey, PHD
- Clinical Neuropsychologist
- Westwood, MA
National Provider Identifier
1467707372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 10163
- Practice address
- 54 Skyline Dr
Westwood, MA 02090-1070 - Phone
- (781) 255-5597
- NPI assigned
- Jul 17, 2012
- Last updated
- Sep 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS01156 | RI | |
| Clinical Neuropsychologist | 103G00000X | 10163 | MA | Primary |
Addresses
Primary practice location
54 Skyline Dr
Westwood, MA 02090-1070
Mailing address
54 Skyline Drive
Westwood, MA 02090
Phone (781) 234-5679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01156 | RI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506297600000",
"number": "1467707372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 SKYLINE DRIVE",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "02090",
"telephone_number": "781-234-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 SKYLINE DR",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020901070",
"telephone_number": "781-255-5597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERSKEY",
"first_name": "BETH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2017-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "PS01156",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "10163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.