Individual provider Active NPI

Jessica L Trochsler, BCBA

  • Behavior Analyst
  • Seymour, CT
National Provider Identifier
1962062687
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
14569016 Issued in CT
Practice address
310 Roosevelt Dr
Seymour, CT 06483-2121
Phone
(203) 206-0920
Fax
(203) 479-9356
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 14569016 CT Primary

Addresses

Primary practice location

310 Roosevelt Dr
Seymour, CT 06483-2121

Mailing address

36 Applewood LN
Naugatuck, CT 06770-3178
Phone (203) 206-0920

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica@ctautism.com Direct

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

State licenses

LicenseStateTypeSpecialty
14569016CTMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1962062687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 APPLEWOOD LN",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067703178",
            "telephone_number": "203-206-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ROOSEVELT DR",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832121",
            "telephone_number": "203-206-0920",
            "fax_number": "203-479-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROCHSLER",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "14569016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@ctautism.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "310 Roosevelt Dr",
            "city": "Seymour",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064832121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seymour, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.