Individual provider Active NPI

Jeanette S Biermann, PHD

  • Psychologist
  • Kent, OH
National Provider Identifier
1639504368
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7067 Issued in OH
Practice address
265 W Main St
Suite 102
Kent, OH 44240-2461
Phone
(330) 678-9210
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7067 OH Primary

Addresses

Primary practice location

265 W Main St
Suite 102
Kent, OH 44240-2461

Mailing address

36297 Southington CT
Avon, OH 44011-3431
Phone (440) 476-8137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20131106001818 OH Practitioner - Clinical Psychologist 5193950749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

1426 Ctr Rd
Avon, OH 44011-1214
Phone (216) 831-6611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7067OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Feb 10, 2018 Accepting new patients
Redmond and Associates Psychologist PastSince Oct 1, 2013 Accepting new patients
Paula Hartman-Stein Psychologist PastSince Oct 1, 2013 Accepting new patients

Locations

1426 Center Rd
Avon, OH 44011
Phone (440) 937-4951

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

Interoperability endpoints

  • Direct secure messaging: pbc.jeanettebiermann@140094.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1639504368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36297 SOUTHINGTON CT",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440113431",
            "telephone_number": "440-476-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W MAIN ST",
            "address_2": "SUITE 102",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402461",
            "telephone_number": "330-678-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERMANN",
        "first_name": "JEANETTE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "7067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.