Active NPI
Jeffrey Barlow
- Psychologist
- New Bern, NC
National Provider Identifier
1578892568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5966
- Practice address
- 2000 Neuse Blvd
New Bern, NC 28560-3449 - Phone
- (252) 633-8020
- Fax
- (252) 634-6208
- NPI assigned
- Dec 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 00074737 | NY | |
| Psychologist | 103T00000X | 00018932 | NY | |
| Psychologist | 103T00000X | 5966 | NC | Primary |
Addresses
Primary practice location
2000 Neuse Blvd
New Bern, NC 28560-3449
Mailing address
PO Box 68
Pollocksville, NC 28573-0068
Phone (252) 635-3906
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00018932 | NY | MD | Psychologist |
| 00074737 | NY | MD | Psychologist |
| 5966 | NC | MD | Chiropractor |
| 018932 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Psychological Health & Wellness PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Elmira, NY
- NPI 1477946507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1578892568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68",
"city": "POLLOCKSVILLE",
"state": "NC",
"postal_code": "285730068",
"telephone_number": "252-635-3906",
"fax_number": "252-224-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603449",
"telephone_number": "252-633-8020",
"fax_number": "252-634-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARLOW",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-22",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "00074737",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "00018932",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.