Active NPI
Rachel E Jadkowski, PSYD
- Clinical Psychologist
- Richmond, VT
National Provider Identifier
1902216997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 048.0100344
- Practice address
- 117A W Main St
Richmond, VT 05477-4451 - Phone
- (503) 476-2528
- NPI assigned
- Apr 30, 2014
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 048.0100344 | VT | Primary |
Addresses
Primary practice location
117A W Main St
Richmond, VT 05477-4451
Mailing address
PO Box 1158
Richmond, VT 05477-1158
Phone (503) 476-2528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 10, 2023 through Feb 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048.0100344 | VT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1902216997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1158",
"city": "RICHMOND",
"state": "VT",
"postal_code": "054771158",
"telephone_number": "503-476-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117A W MAIN ST",
"city": "RICHMOND",
"state": "VT",
"postal_code": "054774451",
"telephone_number": "503-476-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JADKOWSKI",
"first_name": "RACHEL",
"middle_name": "E",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-30",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "048.0100344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VT
- Shira Habermehl
- Therese Marie Hewitt
- Deirdre Howard, DNP, FNP-C
- It Takes a Village: Parenting Wellness Consulting and Psychotherapy
- It Takes a Village: Support for Parents and Caregivers, PLC
- Jonathan E Mason DMD PC (Richmond Dental)
- Albert Koch
- Linda M Kogut, MA OTR
- Courtney Ledger, FNP
- Mary Lefebvre
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.