Jenessa Deleault, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1358 Issued in NH

Practice address

1 New Hampshire Ave Ste 125
Portsmouth, NH 03801-2907

Phone

(603) 600-7101

NPI assigned

Sep 10, 2013

Last updated

Dec 14, 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1497180434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412",
            "city": "CHESTER",
            "state": "NH",
            "postal_code": "030360412",
            "telephone_number": "603-600-7101",
            "fax_number": "603-600-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NEW HAMPSHIRE AVE STE 125",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012907",
            "telephone_number": "603-600-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Constitution Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106076",
            "country_code": "US",
            "telephone_number": "603-472-5279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELEAULT",
        "first_name": "JENESSA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramsay Dean, LICSW
• Christina Debourgknecht
• Kim H Dedeus, PA-C
• Juliana Defeo
• Peter Joseph Degnan, MD
• Rossli Chace Delorey, FNP-C
• Makaela Delucca, CRNA
• Lauren Demaris, DO
• Derek Kimball Demartinis
• Danielle Demato

• Clinical Psychologist in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.