Active NPI
Jessica S Tischner, PH.D.
- Clinical Psychologist
- Durham, NC
National Provider Identifier
1720203771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3246
- Practice address
- 2144 Page Rd
Suite 102
Durham, NC 27703-5952 - Phone
- (919) 609-9812
- NPI assigned
- Apr 16, 2007
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3246 | NC | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3246 | NC | |
| Family Psychologist | 103TF0000X | 3246 | NC | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 3246 | NC | |
| Health Psychologist | 103TH0004X | 3246 | NC | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 3246 | NC | |
| Group Psychotherapy Psychologist | 103TP2701X | 3246 | NC |
Addresses
Primary practice location
2144 Page Rd
Suite 102
Durham, NC 27703-5952
Mailing address
2144 Page Rd
Suite 102
Durham, NC 27703-5952
Phone (919) 609-9812
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3246 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1720203771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2144 PAGE RD",
"address_2": "SUITE 102",
"city": "DURHAM",
"state": "NC",
"postal_code": "277035952",
"telephone_number": "919-609-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2144 PAGE RD",
"address_2": "SUITE 102",
"city": "DURHAM",
"state": "NC",
"postal_code": "277035952",
"telephone_number": "919-609-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISCHNER",
"first_name": "JESSICA",
"middle_name": "S",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3246",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "3246",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NC",
"license": "3246",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NC",
"license": "3246",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "NC",
"license": "3246",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "3246",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NC",
"license": "3246",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.