NPIMap

Individual provider Active NPI

Jennifer Ann Jackson-Wohl, D.O.

  • Psychiatry Physician
  • Barberton, OH
National Provider Identifier
1518939362
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34008164 Issued in OH
Practice address
201 5TH St NE
Ste 4
Barberton, OH 44203-3017
Phone
(330) 745-7263
Fax
(330) 745-7806
NPI assigned
Feb 6, 2006
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34008164 OH Primary

Addresses

Primary practice location

201 5TH St NE
Ste 4
Barberton, OH 44203-3017

Mailing address

201 5TH St NE
Ste 4
Barberton, OH 44203-3017
Phone (330) 745-7263

Other identifiers 1

IdentifierTypeStateIssuer
2601787MedicaidOH

Other names 1

  • Jennifer Ann Wohl Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180205001596 FL Practitioner - Psychiatry 4688664022 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34008164OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc. CurrentSince Jan 2, 2018 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry Current Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Jan 2, 2018 Accepting new patients
Winter Haven Hospital Inc CurrentSince Jun 17, 2019 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Jan 2, 2018 Accepting new patients
Winter Haven Hospital Inc CurrentSince Jun 17, 2019 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Jan 2, 2018 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Jan 2, 2018 Accepting new patients
Portage Path Behavioral Health Past Accepting new patients
Portage Path Community Mental Health Center Past Accepting new patients
Portage Path Behavioral Health Past Accepting new patients

Locations

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

21808 State Road 54
Lutz, FL 33549
Phone (727) 315-8612

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

Interoperability endpoints

  • Direct secure messaging: jenniferjacksonwohl@tdh.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1518939362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE",
            "address_2": "STE 4",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-745-7263",
            "fax_number": "330-745-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE",
            "address_2": "STE 4",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-745-7263",
            "fax_number": "330-745-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-WOHL",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34008164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2601787",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WOHL",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.