Jennifer Elting Barg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007770 Issued in IL

Practice address

501 W Ogden Ave
Suite 1
Hinsdale, IL 60521-3179

Phone

(630) 986-2066

Fax

(630) 986-1477

NPI assigned

Sep 16, 2010

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

Medicare fee-for-service enrollment

Enrolled in IL

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, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Rodasi LLCGroup PAC ID 0749418630, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Rodasi LLC

  • Mental Health Counselor
  • Hoffman Estates, IL
  • NPI 1467691790

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1922316694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W OGDEN AVE",
            "address_2": "SUITE 1",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213179",
            "telephone_number": "630-986-2066",
            "fax_number": "630-986-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W OGDEN AVE",
            "address_2": "SUITE 1",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213179",
            "telephone_number": "630-986-2066",
            "fax_number": "630-986-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARG",
        "first_name": "JENNIFER",
        "middle_name": "ELTING",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey A Balloun, M.S.
• Richard R Balsamo, M.D.
• Hassan Suhail Baqir, DC
• Kimberly Nicole Baran, DO
• Kathleen Dowling Barbiyeru
• Bariatric Institute of Greater Chicago, LTD
• David H Baron, M.D.
• Valerie Barr
• Mayumi Barrack
• Mary C Barry, SLP

• Clinical Psychologist in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.