Individual provider Active NPI

Jaclyn Herring, PH.D.

  • Clinical Psychologist
  • Mars, PA
National Provider Identifier
1487719936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS007806L Issued in PA
Practice address
195 Crowe Ave
Mars, PA 16046-3303
Phone
(724) 772-4949
Fax
(724) 625-4949
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS007806L PA Primary

Addresses

Primary practice location

195 Crowe Ave
Mars, PA 16046-3303

Mailing address

195 Crowe Ave
Mars, PA 16046-3303
Phone (724) 772-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000030 PA Practitioner - Clinical Psychologist 9133175649 Reassigns benefits to 1 organization
Practice locations: Mars, PA; Wexford, PA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 8, 2017 Accepting new patients
University of Pittsburgh Physicians Clinical CurrentSince Feb 8, 2017 Accepting new patients

Locations

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

195 Crowe Ave
Mars, PA 16046-3303
Phone (724) 772-4949

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487719936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 CROWE AVE",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160463303",
            "telephone_number": "724-772-4949",
            "fax_number": "724-625-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 CROWE AVE",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160463303",
            "telephone_number": "724-772-4949",
            "fax_number": "724-625-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "JACLYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS007806L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mars, PA

Sources for this page

Verify at the official NPI Registry.