Individual provider Active NPI

Ieshea Daniella Jarmon, PSY.D.

  • Clinical Psychologist
  • Cedar Hill, TX
National Provider Identifier
1033407291
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35189 Issued in TX
Practice address
806 N Highway 67 Ste C
Cedar Hill, TX 75104
Phone
(469) 454-8277
Fax
(866) 451-6890
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35189 TX Primary

Addresses

Primary practice location

806 N Highway 67 Ste C
Cedar Hill, TX 75104

Mailing address

PO Box 3294
Cedar Hill, TX 75106-3294
Phone (469) 454-8277

Other practice location 1

1211 W Southwest Loop 323
Tyler, TX 75701-9344
Phone (469) 454-8277

Other practice location 2

415 E Pleasant Run Rd
DeSoto, TX 75115-3935
Phone (469) 454-8277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120815000795 TX Practitioner - Clinical Psychologist 0840446381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
83.48
Improvement activities
40
Cost
67.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35189TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C Clinical CurrentSince Jun 18, 2012 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients

Locations

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1033407291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3294",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751063294",
            "telephone_number": "469-454-8277",
            "fax_number": "866-451-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N HIGHWAY 67 STE C",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "75104",
            "telephone_number": "469-454-8277",
            "fax_number": "866-451-6890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 W Southwest Loop 323",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757019344",
            "country_code": "US",
            "telephone_number": "469-454-8277",
            "fax_number": "866-451-6890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 E Pleasant Run Rd",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751153935",
            "country_code": "US",
            "telephone_number": "469-454-8277",
            "fax_number": "866-451-6890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARMON",
        "first_name": "IESHEA",
        "middle_name": "DANIELLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "35189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.