Individual provider Active NPI

Karol Jane Josselyn, RN, MA

  • Psychologist
  • Burlington, VT
National Provider Identifier
1891127544
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
047.0048583 Issued in VT
Practice address
2 Church St
Suite 2D
Burlington, VT 05401-4299
Phone
(802) 989-3318
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 047.0048583 VT Primary

Addresses

Primary practice location

2 Church St
Suite 2D
Burlington, VT 05401-4299

Mailing address

PO Box 696
Shelburne, VT 05482-0696
Phone (802) 989-3318

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
Master of Arts, Registered Nurse

State licenses

LicenseStateTypeSpecialty
047.0048583VTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1891127544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 696",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054820696",
            "telephone_number": "802-989-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST",
            "address_2": "SUITE 2D",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014299",
            "telephone_number": "802-989-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSSELYN",
        "first_name": "KAROL",
        "middle_name": "JANE",
        "credential": "RN, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "047.0048583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.