Jessica Ann Tartaglione, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

095860 Issued in IA

Practice address

200 Mercy Dr Ste 201
Dubuque, IA 52001-7300

Phone

(563) 584-3500

Fax

(563) 584-3520

NPI assigned

Nov 30, 2018

Last updated

May 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1801366067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERCY DR STE 201",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017300",
            "telephone_number": "563-584-3500",
            "fax_number": "563-584-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY DR STE 201",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017300",
            "telephone_number": "563-584-3500",
            "fax_number": "563-584-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTAGLIONE",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "095860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synergist, LLC (Synergist Physical Therapy and Performance)
• Peter Joseph Szeibel, M.D.
• Victoria Szelepinski
• Kara Takes
• Kimberly Tallon
• Kiley Tasset
• Brianna Tauber
• Abigail Callista Tebbe, D.C.
• Ted Murray
• Htoo Wah Tee

• Clinical Psychologist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.