Jill Model Barth, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14952 Issued in CA

Practice address

249 S Rodeo Dr
Suite a
Beverly Hills, CA 90212-3803

Phone

(310) 550-8464

NPI assigned

Oct 25, 2016

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 15, 2018 through Oct 15, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Beverly Hills Psychoanalytic, Inc.

  • Psychoanalyst
  • Beverly Hills, CA
  • NPI 1902768385
  NPD Authorized official

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1306398342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S RODEO DR",
            "address_2": "SUITE A",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123803",
            "telephone_number": "310-550-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 S RODEO DR",
            "address_2": "SUITE A",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123803",
            "telephone_number": "310-550-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTH",
        "first_name": "JILL",
        "middle_name": "MODEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yessica Beatriz Barrientos, M.S
• Rodney Stephen Barron, M.D.
• Barry J Brock MD Inc.
• Barry J. Pearlman, M.D.
• Barry M Braiker MD Inc
• Daiva Bartulis, D.D.S.
• Sherwin Aurash Barvarz, M.D.
• Dawn Zienert Bary, LCSW
• Benjamin Basseri, M.D.
• Eraj Basseri, MD

• Clinical Psychologist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.