Individual provider Active NPI

Jonna Lee Barta, PHD

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1225055296
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3-1280 Issued in TX
Practice address
8117 Preston Rd Ste 300
Dallas, TX 75225-6347
Phone
(214) 629-6986
Fax
(214) 221-0683
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 3-1280 TX Primary

Addresses

Primary practice location

8117 Preston Rd Ste 300
Dallas, TX 75225-6347

Mailing address

8117 Preston Rd Ste 300
Dallas, TX 75225-6347
Phone (214) 629-6986

Other identifiers 2

IdentifierTypeStateIssuer
170019703MedicaidTX
0092LVOtherTXBCBS

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
I20060419000497 TX Practitioner - Clinical Psychologist 8022087634 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8117 Preston Rd
Suite 300
Dallas, TX 75225-6347
Phone (214) 629-6986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3-1280TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates of North Texas, P.a. Clinical Past Accepting new patients
Psychology Associates of North Texas Past Accepting new patients

Organizations & group practices 2

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1225055296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 PRESTON RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256347",
            "telephone_number": "214-629-6986",
            "fax_number": "214-221-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8117 PRESTON RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256347",
            "telephone_number": "214-629-6986",
            "fax_number": "214-221-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTA",
        "first_name": "JONNA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "3-1280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170019703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0092LV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.