Active NPI
Jared Bollinger
- Clinical Psychologist
- Camp Lejeune, NC
National Provider Identifier
1659854586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810006312
- Practice address
- Building 219E F Street
Camp Lejeune, NC 28457 - Phone
- (910) 376-4581
- NPI assigned
- Sep 6, 2018
- Last updated
- Aug 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810006312 | VA | Primary |
Addresses
Primary practice location
Building 219E F Street
Camp Lejeune, NC 28457
Mailing address
1 Harbor CT Apt 24G
Portsmouth, VA 23704-3800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810006312 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1659854586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HARBOR CT APT 24G",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237043800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BUILDING 219E F STREET",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "28457",
"telephone_number": "910-376-4581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLINGER",
"first_name": "JARED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-06",
"last_updated": "2025-08-07",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810006312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Lejeune, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.