Individual provider Active NPI

Jean S. Gearon, PH.D.

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1871770032
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
2440 M St NW
Suite 411
Washington, DC 20037-1404
Phone
(202) 887-8077
Fax
(202) 887-8999
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X DC Primary

Addresses

Primary practice location

2440 M St NW
Suite 411
Washington, DC 20037-1404

Mailing address

2440 M St NW
Suite 411
Washington, DC 20037-1404
Phone (202) 887-8077

Other names 1

  • Jean S. Gearon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY100002223DCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinney Davenport Nutrition 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.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1871770032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 M ST NW",
            "address_2": "SUITE 411",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371404",
            "telephone_number": "202-887-8077",
            "fax_number": "202-887-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 M ST NW",
            "address_2": "SUITE 411",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371404",
            "telephone_number": "202-887-8077",
            "fax_number": "202-887-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARON",
        "first_name": "JEAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "GEARON",
            "middle_name": "S.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.