Individual provider Active NPI

Jessi Bessette

  • Developmental Therapist
  • Southbridge, MA
National Provider Identifier
1770944332
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386
Phone
(508) 765-0292
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
Yes

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Donovan Center Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386

Mailing address

486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386
Phone (508) 765-0292

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2016.

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1770944332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 WORCESTER ST",
            "address_2": "KENNEDY DONOVAN CENTER",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501386",
            "telephone_number": "508-765-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 WORCESTER ST",
            "address_2": "KENNEDY DONOVAN CENTER",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501386",
            "telephone_number": "508-765-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESSETTE",
        "first_name": "JESSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.