Active NPI
Jeandra Barner, PHD
- Clinical Psychologist
- Columbus, OH
National Provider Identifier
1750740957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7229
- Practice address
- 4400 Easton CMNS Ste 125
Columbus, OH 43219-6223 - Phone
- (574) 546-1900
- Fax
- (574) 546-1999
- NPI assigned
- Feb 16, 2016
- Last updated
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7229 | OH | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 7229 | OH | |
| Group Psychotherapy Psychologist | 103TP2701X | 7229 | OH |
Addresses
Primary practice location
4400 Easton CMNS Ste 125
Columbus, OH 43219-6223
Mailing address
PO Box 10299
Fort Wayne, IN 46851-0299
Phone (574) 546-1900
Other practice location 1
5665 Hoover Rd
Grove City, OH 43123-9122
Phone (614) 539-6531
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 |
|---|---|---|---|
| 7229 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1750740957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10299",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468510299",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 EASTON CMNS STE 125",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196223",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
}
],
"practiceLocations": [
{
"address_1": "5665 Hoover Rd",
"address_purpose": "LOCATION",
"city": "Grove City",
"state": "OH",
"postal_code": "431239122",
"country_code": "US",
"telephone_number": "614-539-6531",
"fax_number": "614-875-2116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARNER",
"first_name": "JEANDRA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "7229",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "7229",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "OH",
"license": "7229",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.