Barbara F Jedrzejek, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0005032 Issued in CO

Practice address

1942 Broadway Ste 314C
Boulder, CO 80302-5233

Phone

(720) 263-9123

NPI assigned

Sep 1, 2015

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 CO

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

Medicare enrollment (NPD)

Enrolled

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.

• Saint Joseph Hospital, Inc

  dba Intermountain Health Saint Joseph Hospital

  • Obstetrics & Gynecology Physician
  • Denver, CO
  • NPI 1154361350
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  Medicare reassignment NPD
• Uptown Community Health Center Inc

  dba Bruner Family Medicine

  • Family Medicine Physician
  • Denver, CO
  • NPI 1598408973
  Medicare reassignment NPD
• Saint Joseph Hospital Inc

  dba SJH Rainer General Surgery Clinic

  • Surgery Physician
  • Denver, CO
  • NPI 1790301323
  NPD
• Saint Joseph Hospital, Inc

  dba Saint Joseph Hospital

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1417946021
  NPD
• Uptown Community Health Center Inc

  dba Uptown Midwifery Clinic (FQHC Look-a-like)

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
  • NPI 1619844669
  NPD
• Uptown Community Health Center Inc

  dba Caritas Internal Medicine

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1841933223
  NPD

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1952778367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 BROADWAY STE 314C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025233",
            "telephone_number": "720-263-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 BROADWAY STE 314C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025233",
            "telephone_number": "720-263-9123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 N Ogden St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802183670",
            "country_code": "US",
            "telephone_number": "303-318-2586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEDRZEJEK",
        "first_name": "BARBARA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Jasilli, FNP-C
• Jay E Swartzwelter D.D.S.
• Jay Wilson D.C. P.C.
• Theresa Jeannette-Palermo, LCSW
• Jeb Bennett LCSW
• Jeffrey B Holland OD PC (College Optical)
• Jeffrey H Wong, D.D.S. M.S.
• Jeffrey Walters PC
• Sarah Jeffrey
• Robert Alan Jelinek, DPM

• Clinical Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.