Jacques P Barber, PHD
Individual provider Active NPI Clinical Psychologist · Philadelphia, PA
NPI 1013932037 · NPPES record last updated May 2, 2012
Key facts
- NPI
- 1013932037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS005226L (PA)
- Practice address
- 3535 Market St
3Rd Floor
Philadelphia, PA 19104-3309 - Phone
- (215) 746-6700
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS005226L | PA | MD | Group Psychotherapy Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS005226L | PA | |
| Clinical Psychologist | 103TC0700X | PS005226L | PA | Yes |
| Cognitive & Behavioral Psychologist | 103TB0200X | PS005226L | PA | |
| Group Psychotherapy Psychologist | 103TP2701X | PS005226L | PA |
Addresses
Primary practice location
3535 Market St
3Rd Floor
Philadelphia, PA 19104-3309
Mailing address
3535 Market St
Suite 648
Philadelphia, PA 19104-3309
Phone (215) 662-2306
Other providers in Philadelphia, PA
- Barbara Gilliam
- Zoe Leila Barbati
- Sharita Ovella Barber-Jerkins
- Antwina Barber
- Hargrow Dexter Barber
- Jessica Ann Barber
- Joshua Barber
- Noelle Britta Barber
- Julie P Barbera
- Lauren L Barbieri
All providers in Philadelphia, PA · Clinical Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.