Active NPI
Patricia J. Jarrett, MD, PHD
- Professional Counselor
- Butler, PA
National Provider Identifier
1487655916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MD 039457E
- Practice address
- 112 Hillvue Dr
Butler, PA 16001-3426 - Phone
- (724) 287-0791
- Fax
- (724) 287-2730
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MD 039457E | PA | Primary |
| Psychiatry Physician | 2084P0800X | MD039457E | PA |
Addresses
Primary practice location
112 Hillvue Dr
Butler, PA 16001-3426
Mailing address
112 Hillvue Dr
Butler, PA 16001-3426
Phone (724) 287-0791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012111530001 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 039457E | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Psychological Associates,LTD. | Past | Accepting new patients | |
| Wpic Physician Practice Corp Inc | 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.
-
- Mental Health Counselor
- Kittanning, PA
- NPI 1669412441
-
- Neurology Physician
- Pittsburgh, PA
- NPI 1356319313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1487655916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 HILLVUE DR",
"city": "BUTLER",
"state": "PA",
"postal_code": "160013426",
"telephone_number": "724-287-0791",
"fax_number": "724-287-2730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HILLVUE DR",
"city": "BUTLER",
"state": "PA",
"postal_code": "160013426",
"telephone_number": "724-287-0791",
"fax_number": "724-287-2730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRETT",
"first_name": "PATRICIA",
"middle_name": "J.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "MD 039457E",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD039457E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012111530001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.