Individual provider Active NPI

Jessica Dirsmith, D.ED.

  • School Psychologist
  • Kittanning, PA
National Provider Identifier
1750090114
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
PSO18639 Issued in PA
Practice address
365 Franklin Hill Rd
Kittanning, PA 16201-8921
Phone
(724) 543-1888
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X PSO18639 PA Primary

Addresses

Primary practice location

365 Franklin Hill Rd
Kittanning, PA 16201-8921

Mailing address

204 Crestwood Dr
Sarver, PA 16055-9458

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 Education

State licenses

LicenseStateTypeSpecialty
PSO18639PAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychological Associates,LTD. PastSince Nov 20, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1750090114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CRESTWOOD DR",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 FRANKLIN HILL RD",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162018921",
            "telephone_number": "724-543-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRSMITH",
        "first_name": "JESSICA",
        "credential": "D.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "PSO18639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.