Jennifer Simpson Birch, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

18162 Issued in CA

Practice address

2397 Shattuck Ave
Suite 206
Berkeley, CA 94704-1567

Phone

(510) 599-9421

Fax

(949) 656-7728

NPI assigned

Feb 28, 2008

Last updated

Apr 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Birch Psychiatric Services a Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Berkeley, CA
  • NPI 1124465398
  NPD Authorized official

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1548439003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397 SHATTUCK AVE",
            "address_2": "SUITE 206",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041567",
            "telephone_number": "510-599-9421",
            "fax_number": "949-656-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2397 SHATTUCK AVE",
            "address_2": "SUITE 206",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041567",
            "telephone_number": "510-599-9421",
            "fax_number": "949-656-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "JENNIFER",
        "middle_name": "SIMPSON",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "18162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Richard Billings, MD, PHD
• Josephine Guerrero Billington, RN, NP
• Derrick Bines
• Bio-Medical Applications of California, Inc. (BMA Berkeley)
• Birch Psychiatric Services a Nursing Corporation
• Lena C Birch, NP
• Hagikah Victoria Birden
• Micayla Birondo, LMFT
• Margaretta H. Bisno, PH.D.
• Cris Bissonnette, PMHNP, FNP

• Psychiatric/Mental Health Nurse Practitioner in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.