JACQUELYN ELLEN BODE M.ED.
NPI 1780782375
Psychologist in Rutland, VT

Active since September 20, 2006
73 CENTER ST, RUTLAND, VT 05701(802) 747-3488(802) 747-0006 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacquelyn Ellen Bode M.ed. NPPES

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

JACQUELYN ELLEN BODE M.ED. (NPI 1780782375) is an individual psychologist in Rutland, Vermont, licensed in Vermont (269) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1780782375
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJACQUELYN ELLEN BODECredential: M.ED.
Location Address73 CENTER STRutland, VT 05701-4046
Mailing Address73 Center StRutland, VT 05701-4046 · (802) 747-3488 · Fax (802) 747-0006
Fax(802) 747-0006
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1780782375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in VT · 269
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 291 (VT)

Other Identifiers 1

Medicaid0002611VT

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
73 CENTER ST
RUTLAND, VT 05701
Psychologist (Clinical)
73 CENTER ST
RUTLAND, VT 05701
Ophthalmology
73 CENTER ST
RUTLAND, VT 05701
Chiropractor
73 CENTER ST, SUITE 4
RUTLAND, VT 05701
Psychologist
73 CENTER ST
RUTLAND, VT 05701
Psychiatry & Neurology (Neurology)
73 CENTER ST
RUTLAND, VT 05701
Optometrist
73 CENTER ST
RUTLAND, VT 05701
Counselor (Mental Health)
73 CENTER ST
RUTLAND, VT 05701

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 Jacquelyn Bode's NPI number?

The NPI number for Jacquelyn Bode is 1780782375. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Jacquelyn Bode located?

Jacquelyn Bode practices at 73 Center St, Rutland, VT 05701. The listed phone number is (802) 747-3488.

What is Jacquelyn Bode's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacquelyn Bode was last updated on September 11, 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.