Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780782375 Individual Practitioner Female Practitioner

Jacquelyn Ellen Bode , MED

Psychologist • Rutland, VT

Professional Overview & Biography Verified Profile Summary

Jacquelyn Bode, MED is a registered healthcare professional specializing in Psychologist in Rutland, VT. Practice services are available at 73 CENTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

73 Center St

Rutland, VT 057014046

Telephone 8027473488
Fax 8027470006
Associated Practice Facility / Clinic
🏢 Neurology Micropractice, P.c. Facility NPI 1043346471

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Rutland, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Rutland, VT (276 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License VT 269

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License VT 291

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0002611 (VT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1427156926

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 73 CENTER ST, RUTLAND, VT 057014046 (Tel: 8027473488)

📍
Updated Business Mailing Address July 09, 2007

Registered at 73 CENTER ST, RUTLAND, VT 057014046 (Tel: 8027473488)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JACQUELYN BODE, M.ED.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #291 in VT)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1780782375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

73 Center St

Rutland, VT 057014046

Phone: 8027473488

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.