Jessy Sandoval-Barrett, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD056900L Issued in PA

Practice address

245 S 8TH St
Philadelphia, PA 19106-3520

Phone

(215) 829-7271

NPI assigned

Apr 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1083887970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S 8TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063520",
            "telephone_number": "215-829-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S 8TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063520",
            "telephone_number": "215-829-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL-BARRETT",
        "first_name": "JESSY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD056900L",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD056900L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Sandmeyer
• Hayden Sando, MD
• Amelia Jill Sandoe, M.D.
• Angela Mary Sandone-Barr, PH.D
• Nora Sandorfi, MD
• Sandpipermd, Inc.
• Sandra'S Comforting Arms Personal Care Home, LLC
• Carmen Sandridge, DO
• Francine Catherine Sandrow, MD
• Hannah Mary Sands, DPT

• Child & Adolescent Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.