Roy William Jarnecke, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810001069 Issued in VA

Practice address

312 Progress St
Suite 200
Fredericksburg, VA 22401-3356

Phone

(540) 310-0797

Fax

(540) 310-0791

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295762805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 PROGRESS ST",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013356",
            "telephone_number": "540-310-0797",
            "fax_number": "540-310-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 PROGRESS ST",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013356",
            "telephone_number": "540-310-0797",
            "fax_number": "540-310-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARNECKE",
        "first_name": "ROY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810001069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "88390",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7706987",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "291435",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5535256",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Twana Michele James
• Jan-Eric Esway, MD PLLC
• Yurim Jang
• Binoy R Jani, M.D.
• Thomas Janus, D.O.
• Helen McLaughlin Jarrett, AGACNP
• Jason T Lipscomb DDS P C
• Shayma M. Jawad, D.O.
• Jay David Brock, MD, PC
• Philicia Jefferson, PH.D.

• Psychologist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.