Jessica Poulsen, PHD, PC
NPI 1164242137ActiveOrganization· Psychologist, Clinical· Boston, MA
Psychologist, Clinical in Boston, Massachusetts, registered in NPPES in October 2024. The authorized official on file is Jessica Poulsen, PHD, Clinical Psychologist.
Overview
| NPI | 1164242137 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 15, 2024 |
| Last updated in NPPES | Oct 15, 2024 |
| Certified by provider | Oct 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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