Jessica Leigh Viergutz-Cavagnetto, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60317232 Issued in WA

Practice address

2560 NE Hopkins CT
Pullman, WA 99163-5622

Phone

(509) 338-3800

NPI assigned

Jan 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jessica Leigh Viergutz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Schweitzer Engineering Laboratories

  • Primary Care Clinic/Center
  • Pullman, WA
  • NPI 1679827877
  NPD
• Horizons, a Family Service Alliance

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
  • NPI 1033291265
  NPD (past)
• Horizons, a Family Service Alliance

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
  • NPI 1376984088
  NPD (past)
• Oakdale Psychology Associates

  • Clinical Psychologist
  • Johnson City, NY
  • NPI 1497944318
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1619956844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 NE HOPKINS CT",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635622",
            "telephone_number": "509-338-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 NE HOPKINS CT",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635622",
            "telephone_number": "509-338-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERGUTZ-CAVAGNETTO",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "00977",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60317232",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0168651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "VIERGUTZ",
            "middle_name": "LEIGH",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alan S Unis, M.D.
• Laura Nakata Vannucci, MPT
• Troy Thomas Vannucci, MPT
• Jonathon Christopher Via, DC
• Lisa Jacqueline Viehouser, CD
• Christie Dawn Vincent, RN
• John Stephen Visger, M.D.
• Beata Vixie
• Kyle Donovan Volk
• Melody Ann Volk, D.C.

• Clinical Psychologist in Pullman, WA
• Providers in Pullman, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.