Jennifer Hartman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32123 Issued in TX

Practice address

4525 Lemmon Ave
Suite 200
Dallas, TX 75219-2145

Phone

(214) 526-4525

Fax

(214) 520-6468

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Genuine Life Wellness PLLC

  • Clinical Psychologist
  • Richardson, TX
  • NPI 1851714166
  Medicare reassignment NPD Authorized official
• Lane Ogden, PH.D., PLLC

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1275836611
  NPD (past)
• The Center for Integrative Counseling and Psychology

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dallas, TX
  • NPI 1720193899
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1114947199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 MEADOW RD",
            "address_2": "SUITE 2224",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313769",
            "telephone_number": "972-742-2186",
            "fax_number": "469-232-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 LEMMON AVE",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192145",
            "telephone_number": "214-526-4525",
            "fax_number": "214-520-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira H Hartgrove, MA, LPC
• Kole Hartis, PHARMD
• Caitlin M Hartjes, DPT
• Ashley S. Hartley, PA-C
• Abby Kate Hartman, MS, LPC
• Brandon Hartmann, MD
• Donya Hartsfield, APRN, FNP
• Stephanie Lynn Hartsfield, MSN, APRN, CPNP-AC
• Marielle Andes Hartsgrove, CRNA
• Katie Hartwell

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.