Active NPI
Jennifer Lee Bakalar, PH.D.
- Psychologist
- Washington, DC
National Provider Identifier
1003340035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY1001443
- Practice address
- 2000 P St NW Ste 408
Washington, DC 20036-6969 - Phone
- (202) 932-0893
- NPI assigned
- Apr 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 06404 | MD | |
| Clinical Psychologist | 103TC0700X | 0810006741 | VA | |
| Psychologist | 103T00000X | PSY1001443 | DC | Primary |
Addresses
Primary practice location
2000 P St NW Ste 408
Washington, DC 20036-6969
Mailing address
2000 P St NW Ste 408
Washington, DC 20036-6969
Phone (202) 932-0893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1001443 | DC | MD | Psychologist |
| 0810006741 | VA | MD | Clinical Psychologist |
| 06404 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1003340035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 P ST NW STE 408",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200366969",
"telephone_number": "202-932-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 P ST NW STE 408",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200366969",
"telephone_number": "202-932-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKALAR",
"first_name": "JENNIFER",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-17",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "06404",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810006741",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY1001443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.