JOHN PAGE JESSUP (NPI# 1518300144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518300144 |
| Entity Type | Individual |
| Full Name | JOHN PAGE JESSUP |
| Other Name | JACK JESSUP |
| Credential | PSYCHOLOGIST, MA |
| Practice Address |
1085 Us Route 4 E Ste 2a Rutland VT 05701-8007 |
| Mailing Address |
1085 Us-4 East Suite 2a Rutland VT 05701 |
| Practice Telephone | 8024172067 |
| Mailing Telephone | 8024172067 |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
047.0123038 | VT | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
047.0123038 | VT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 78 S Main St, Rutland, VT 057014591 | 8027752381 | |
| 1085 Us Route 4 E Ste 2a, Rutland, VT 057018007 | 8024172067 | |
| 412 E Commons, Pittsburgh, PA 152125310 | 4124421900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972721009 | John Milburn Jessup | Surgery | 8012 Coach St, Potomac, MD 20854-3809 | 2007-04-23 |
| 1205819166 | John G. Jessup | Internal Medicine | 1280 Summitt, Jasper, AL 35501-0102 | 2005-11-23 |
| 1649266800 | John N Jessup | Family Medicine | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2005-09-23 |
| Street Address |
1085 US ROUTE 4 E STE 2A |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-8007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639259914 | Marc D Carpenter | Psychologist | 1085 Us Route 4 E Ste 2a, Rutland, VT 05701-8007 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639259914 | Marc D Carpenter | Psychologist | 1085 Us Route 4 E Ste 2a, Rutland, VT 05701-8007 | 2006-10-17 |
| 1316044506 | William Lawther Cunningham | Psychologist | 1085 Us Rte 4e, Ste 2a Eastridge Professional Building, Rutland, VT 05701 | 2006-09-20 |
| 1831151687 | Marc A. Cecil | Psychologist | 65 N Main St, Rutland, VT 05701-3252 | 2006-04-05 |
| 1669877452 | Danielle Rae Bergeron Ingram | Psychologist | 78 S Main St, Rutland, VT 05701-4591 | 2014-10-23 |
| 1104034529 | Psychotherapy Associates | Psychologist | 90 Mahoney Ave, Rutland, VT 05701 | 2007-05-18 |
| 1679630438 | Jeffrey D Mckee | Psychologist | 160 Allen St, Rutland, VT 05701-4560 | 2007-01-02 |
| 1659450070 | Cheryl D. Dean | Psychologist | 128 Merchants Row, Suite 309, Rutland, VT 05701-5909 | 2006-11-05 |
| 1053408518 | Martin James Fino | Psychologist | 73 Center St, Rutland, VT 05701-4046 | 2006-10-06 |
| 1255423927 | J. David Long | Psychologist | 78 S Main St, Rutland, VT 05701-4530 | 2006-09-29 |
| 1912914607 | Gail R Coghlow | Psychologist | 90 Mahoney Ave, Rutland, VT 05701-4836 | 2006-08-02 |
| Find all providers in RUTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.