Individual provider Active NPI

Jeffrey Kerr, DO

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1417586165
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS026369 Issued in PA
Practice address
1528 Walnut St Ste 1416
Philadelphia, PA 19102-3604
Phone
(610) 660-4509
NPI assigned
Apr 5, 2020
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A21476 CA
Psychiatry Physician 2084P0800X C2-0025092 DE
Psychiatry Physician 2084P0800X OS026369 PA Primary

Addresses

Primary practice location

1528 Walnut St Ste 1416
Philadelphia, PA 19102-3604

Mailing address

1528 Walnut St Ste 1416
Philadelphia, PA 19102-3604
Phone (610) 660-4509

Other practice location 1

200 Hillmont Ave
Ventura, CA 93003-1647
Phone (805) 652-6729

Other practice location 2

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 948-5698

Other practice location 3

4258 Telegraph Rd
Ventura, CA 93003-3706
Phone (805) 477-5700

Other practice location 4

915 Haddon Ave Ste 1
Collingswood, NJ 08108-1900
Phone (856) 393-1431

Other practice location 5

30 S Valley Rd Ste 101B
Paoli, PA 19301-1469
Phone (484) 960-5370

Other practice location 6

1407 Foulk Rd Ste 201B
Wilmington, DE 19803-2754
Phone (302) 596-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101002982 CA Practitioner - Psychiatry 8729511480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

125 W Thousand Oaks Blvd
Suite 500
Thousand Oaks, CA 91360-4402
Phone (805) 777-3500

300 Hillmont Ave
Ventura, CA 93003-1651

4258 Telegraph Rd
Ventura, CA 93003-3706
Phone (805) 477-5700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A21476CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Aug 29, 2024 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Aug 29, 2024 Accepting new patients

Locations

200 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-5755

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

4258 Telegraph Rd
Ventura, CA 93003
Phone (805) 477-5700

800 S Victoria Ave
#L4640
Ventura, CA 93009

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1417586165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 1416",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023604",
            "telephone_number": "610-660-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 1416",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023604",
            "telephone_number": "610-660-4509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hillmont Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031647",
            "country_code": "US",
            "telephone_number": "805-652-6729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 N Brent St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930032809",
            "country_code": "US",
            "telephone_number": "805-948-5698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4258 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930033706",
            "country_code": "US",
            "telephone_number": "805-477-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Haddon Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Collingswood",
            "state": "NJ",
            "postal_code": "081081900",
            "country_code": "US",
            "telephone_number": "856-393-1431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 S Valley Rd Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011469",
            "country_code": "US",
            "telephone_number": "484-960-5370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 Foulk Rd Ste 201B",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198032754",
            "country_code": "US",
            "telephone_number": "302-596-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "JEFFREY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-05",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A21476",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C2-0025092",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS026369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.