Jeffrey J. Gernert, PH.D., PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY1903 Issued in DC

Legal business name

JEFFREY J. GERNERT, PH.D., PLLC

Practice address

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

Phone

(202) 669-9160

Fax

(202) 518-8246

NPI assigned

Feb 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey J. Gernert, PH.D.NPI 1689683773

Title

President/Clinical Psychologist

Phone

(202) 669-9160

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Jared Gernert, PH.D.

  • Clinical Psychologist
  • Washington, DC
  • NPI 1689683773
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1922422765",
    "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": {
        "organization_name": "JEFFREY J. GERNERT, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "GERNERT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "202-669-9160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starr Jefferson
• Sylvia E Jefferson, LICSW
• Tina Patrice Jefferson
• Antonio Jeffress
• Elaine Jeffress, APRN
• Jeffrey L Kraskin OD PC
• Jeffrey P. Haggquist, DO, PLLC
• Lamonica Shauntice Jeffrey
• Ameir Abdulla Jeffries
• Debra Lois Jeffries, DDS

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.