Jennifer J. Alberty, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2003019242 Issued in MO

Practice address

1505 E 20TH St
Joplin, MO 64804-0928

Phone

(417) 627-9601

Fax

(417) 627-9032

NPI assigned

Oct 12, 2006

Last updated

Oct 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: providersw5@direct.lumeris.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Applied Psychological Services PC

  • Psychologist
  • Joplin, MO
  • NPI 1275634644
  Medicare reassignment
• Core14 LLC

  • Clinical Psychologist
  • Joplin, MO
  • NPI 1982955191
  Authorized official Same address or phone
• Mindy Miller LLC

  • Clinical Social Worker
  • Joplin, MO
  • NPI 1699947820
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1881783066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N RANGE LINE RD",
            "address_2": "STE 101",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648019191",
            "telephone_number": "417-627-9601",
            "fax_number": "417-627-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040928",
            "telephone_number": "417-627-9601",
            "fax_number": "417-627-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTY",
        "first_name": "JENNIFER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2003019242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498828805",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200077990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariam Akhtar, MD
• Bruce A Akuna, DO
• Asad Yasin Al-Rawashdeh, MD
• Alan Melot LLC
• Kevin Alban, M.D.
• Katrina Anna Talactac Alcoy, PT
• Cayden A Alexander, RD
• Kathrina Andrea Elaine Alexander, MD
• Marsha Alford, MPT
• Ali Internal Medicine Associates, PC

• Clinical Psychologist in Joplin, MO
• Providers in Joplin, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.