Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jess Edelstein, PHD

Individual provider Psychologist · NPI 1013295005

Dr. Jess Edelstein, PHD is a Clinical Psychologist in South Windsor, Connecticut. Qualified in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
25
Licensed in
CT
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

475 Buckland Rd Ste 103
South Windsor, CT 06074-3738
Phone: (860) 670-5207
Fax: (860) 432-4540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 003147 (CT)

Record details

NPI number1013295005
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 26, 2011
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address36 Ellsworth Ln, Ellington, CT 06029-2105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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