DR. JESS EDELSTEIN PHD
NPI 1013295005
Psychologist in South Windsor, CT

Active since July 26, 2011PECOS EnrolledAccepts Medicare Assignment
475 BUCKLAND RD STE 103, SOUTH WINDSOR, CT 06074(860) 670-5207(860) 432-4540 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jess Edelstein Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESS EDELSTEIN PHD (NPI 1013295005) is an individual psychologist in South Windsor, Connecticut, licensed in Connecticut (003147) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1013295005
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JESS EDELSTEINCredential: PHD
Location Address475 BUCKLAND RD STE 103South Windsor, CT 06074-3738
Mailing Address36 Ellsworth LnEllington, CT 06029-2105 · (860) 670-5207 · Fax (860) 432-4540
Fax(860) 432-4540
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 26, 2011
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1013295005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CT · 003147
Definition
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.
475 BUCKLAND RD STE 103, South Windsor, CT 06074

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jess Edelstein Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769730076
PECOS Enrollment IDI20180802002157
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jess Edelstein's NPI number?

The NPI number for Jess Edelstein is 1013295005. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is Jess Edelstein located?

Jess Edelstein practices at 475 Buckland Rd Ste 103, South Windsor, CT 06074. The listed phone number is (860) 670-5207.

What is Jess Edelstein's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jess Edelstein enrolled in Medicare?

Yes. Jess Edelstein is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jess Edelstein accept?

Health plans from Providence Health Plan list Jess Edelstein as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jess Edelstein was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.