Active NPI
Jessica Geragosian, PSYD
- Psychologist
- Charlestown, MA
National Provider Identifier
1841699576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 8 Wall St
#2
Charlestown, MA 02129-1813 - Phone
- (978) 270-2753
- NPI assigned
- Aug 19, 2014
- Last updated
- May 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
8 Wall St
#2
Charlestown, MA 02129-1813
Mailing address
8 Wall St
#2
Charlestown, MA 02129-1813
Phone (978) 270-2753
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1841699576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 WALL ST",
"address_2": "#2",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021291813",
"telephone_number": "978-270-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 WALL ST",
"address_2": "#2",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021291813",
"telephone_number": "978-270-2753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERAGOSIAN",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlestown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.