Jenna Lynn Jebitsch, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017686 Issued in PA

Practice address

1620 Pond Rd Ste 75
Allentown, PA 18104-2280

Phone

(610) 417-8198

NPI assigned

Apr 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1528358819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 POND RD STE 75",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042280",
            "telephone_number": "610-222-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 POND RD STE 75",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042280",
            "telephone_number": "610-417-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEBITSCH",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003794",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sruthi Jayaraman
• JCH Pharmacy Services LLC
• Walter Jean
• Shamika Jeanphilippe
• Alissa Marie Jebitsch, MS
• Earl Jefferis Jr., MD
• Elizabeth Jeffers, PA-C
• Anthony B. Jefferson Sr., MA, LPC
• Kayla Jefferson
• Jeffrey Marchese LCSW

• Clinical Psychologist in Allentown, PA
• Providers in Allentown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.