Active NPI
Jessica Strasler Medford, PSY.D,
- Clinical Psychologist
- Morganton, NC
National Provider Identifier
1790076065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3297
- Practice address
- 2209 S Sterling St Ste 300
Morganton, NC 28655-4092 - Phone
- (828) 580-4010
- Fax
- (828) 580-4009
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3297 | NC | Primary |
Addresses
Primary practice location
2209 S Sterling St Ste 300
Morganton, NC 28655-4092
Mailing address
2209 S Sterling St Ste 300
Morganton, NC 28655-4092
Phone (828) 580-4010
Other practice location 1
2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-6403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790076065 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3297 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1790076065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 S STERLING ST STE 300",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554092",
"telephone_number": "828-580-4010",
"fax_number": "828-580-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 S STERLING ST STE 300",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554092",
"telephone_number": "828-580-4010",
"fax_number": "828-580-4009"
}
],
"practiceLocations": [
{
"address_1": "2201 S Sterling St",
"address_purpose": "LOCATION",
"city": "Morganton",
"state": "NC",
"postal_code": "286554044",
"country_code": "US",
"telephone_number": "828-580-6403",
"fax_number": "828-580-6409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDFORD",
"first_name": "JESSICA",
"middle_name": "STRASLER",
"name_prefix": "Dr.",
"credential": "PSY.D,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790076065",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
- Kristen Marie McTaggart
- Melissa Meares, COF, CMF
- Tracey Mease, PHARM D
- Med Anesthesia Services
- Med First Immediate Care & Family Practice, PA
- Medical Alliance Clinic, PLLC
- Medical Heights OB-GYN, PA
- Rudy Tom Medina, MD
- Thomas E Meek II, DO
- Memory Clinic LLC (Memory Clinic LLC Carolina Medical and Psychiatric Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.