Individual provider Active NPI

Jaclynn Kuchta, PHD

  • Clinical Psychologist
  • Savannah, GA
National Provider Identifier
1740936590
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY004584 Issued in GA
Practice address
9 Tiffany PL
Savannah, GA 31406-5259
Phone
(724) 413-5052
NPI assigned
Mar 1, 2022
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY004584 GA Primary

Addresses

Primary practice location

9 Tiffany PL
Savannah, GA 31406-5259

Mailing address

306 Commercial Dr
Savannah, GA 31406-3685
Phone (912) 436-3736

Other practice location 1

306 Commercial Dr
Savannah, GA 31406-3685
Phone (912) 436-3736

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.joyepsychology.com Joye Psychology & Wellness, LLC

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

LicenseStateTypeSpecialty
PSY004584GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Transition Programs, Inc Past Accepting new patients
Joye Psychology & Wellness, LLC Clinical PastSince Mar 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1740936590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 COMMERCIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063685",
            "telephone_number": "912-436-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 TIFFANY PL",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314065259",
            "telephone_number": "724-413-5052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063685",
            "country_code": "US",
            "telephone_number": "912-436-3736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUCHTA",
        "first_name": "JACLYNN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.joyepsychology.com",
            "affiliation": "Y",
            "endpointDescription": "company website",
            "affiliationName": "Joye Psychology & Wellness, LLC",
            "address_1": "306 Commercial Dr",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314063685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.