Individual provider Active NPI

Jeffrey Jared Gernert, PH.D.

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1689683773
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1903 Issued in DC
Practice address
1350 Connecticut Ave NW
Suite 801
Washington, DC 20036-1722
Phone
(202) 669-9160
Fax
(202) 518-8246
NPI assigned
Aug 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 03249 MD
Clinical Psychologist 103TC0700X 1903 DC Primary

Addresses

Primary practice location

1350 Connecticut Ave NW
Suite 801
Washington, DC 20036-1722

Mailing address

1350 Connecticut Ave NW
Suite 801
Washington, DC 20036-1722
Phone (202) 669-9160

Other identifiers 1

IdentifierTypeStateIssuer
220100301MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110425000219 DC Practitioner - Clinical Psychologist 7719162452 Reassigns benefits to 2 organizations
Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

Washington, DC 20009
Phone (202) 669-9160

4445 Willard Ave
Suite 600
Chevy Chase, MD 20815-3786
Phone (240) 201-3386

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1903DCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sailor Health Medical PA CurrentSince Nov 5, 2025 Accepting new patients

Locations

4445 Willard Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 921-4287

Organizations & group practices 2

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": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1689683773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW",
            "address_2": "SUITE 801",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361722",
            "telephone_number": "202-669-9160",
            "fax_number": "202-518-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW",
            "address_2": "SUITE 801",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361722",
            "telephone_number": "202-669-9160",
            "fax_number": "202-518-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERNERT",
        "first_name": "JEFFREY",
        "middle_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03249",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "1903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220100301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.