Individual provider Active NPI

Jennifer Alice Webb, PSY.D.

  • Psychologist
  • Columbus, OH
National Provider Identifier
1285877407
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6505 Issued in OH
Practice address
785 E Broad St
Columbus, OH 43205-1013
Phone
(614) 621-3673
Fax
(614) 621-9508
NPI assigned
Apr 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6505 OH Primary

Addresses

Primary practice location

785 E Broad St
Columbus, OH 43205-1013

Mailing address

785 E Broad St
Columbus, OH 43205-1013
Phone (614) 621-3673

Other practice location 1

4624 Sawmill Rd
Columbus, OH 43220-2247
Phone (614) 459-4490

Other names 1

  • Jennifer Alice Burger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6505OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Resilience & Wellness, LLC Psychologist Current Accepting new patients
Association for Psychotherapy, Inc. Psychologist PastSince Jul 28, 2019 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": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1285877407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051013",
            "telephone_number": "614-621-3673",
            "fax_number": "614-621-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051013",
            "telephone_number": "614-621-3673",
            "fax_number": "614-621-9508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4624 Sawmill Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432202247",
            "country_code": "US",
            "telephone_number": "614-459-4490",
            "fax_number": "614-457-3656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JENNIFER",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BURGER",
            "middle_name": "ALICE",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.