DR. JENNIFER JANE BALLERINI PSY.D.
NPI 1093966053
Psychologist - Clinical in Fair Oaks, CA

Q: What is Jennifer Ballerini's NPI number?

The NPI number for Jennifer Ballerini is 1093966053. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Q: What is Jennifer Ballerini's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Jennifer Ballerini enrolled in Medicare?

No. Jennifer Ballerini has opted out of Medicare through October 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since October 08, 2008Opted out of Medicare · through Oct 23, 2027

8080 MADISON AVE, STE 200 D, FAIR OAKS, CA 95628(916) 276-7709(916) 534-7753 Get Directions Write a Review

NPPES record last updated: May 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jennifer Jane Ballerini Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER JANE BALLERINI PSY.D. (NPI 1093966053) is an individual clinical provider in Fair Oaks, California, licensed in California (PSY22155) and active in the NPI registry since October 2008. She has opted out of Medicare through October 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093966053

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JENNIFER JANE BALLERINICredential: PSY.D.

Location Address8080 MADISON AVE, STE 200 DFair Oaks, CA 95628-3759

Mailing Address8080 Madison Ave, Ste 200 DFair Oaks, CA 95628-3759 · (916) 276-7709 · Fax (916) 534-7753

Phone(916) 276-7709

Fax(916) 534-7753

Sole ProprietorYes

Enumeration DateOctober 8, 2008

Last NPPES UpdateMay 27, 2009

✔ NPI 1093966053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY22155

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

8080 MADISON AVE, Fair Oaks, CA 95628

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jennifer Jane Ballerini Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 23, 2019 through October 23, 2027.

Opt-Out Effective DateOctober 23, 2019

Opt-Out In Effect ThroughOctober 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95628 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.85 typical visit price

range $60.44 – $180.85

Typical copayment $45.21 (range $15.11 – $45.21)

Most-billed visit code 99205

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY ELLIS-CAWLEY L.C.S.W.

Social Worker (Clinical)

8080 MADISON AVE, 200A
FAIR OAKS, CA 95628

Sacramento County (916) 361-2928

MARK WILLIAM LEMAY D.C.

Chiropractor

8080 MADISON AVE, 204A
FAIR OAKS, CA 95628

Sacramento County (916) 965-8171

MRS. REBECCA MARIE MIDDLETON

Specialist

8080 MADISON AVE, SUITE 204A
FAIR OAKS, CA 95628

Sacramento County (916) 524-1945

DR. CONSTANCE L HOLMES EDD

Psychologist (Clinical)

8080 MADISON AVE, SUITE 200D
FAIR OAKS, CA 95628

Sacramento County (916) 616-8561

LESLIE DAVIS MFT

Counselor (Mental Health)

8080 MADISON AVE, SUITE 200-D
FAIR OAKS, CA 95628

Sacramento County (916) 501-0529

LEMAY CHIROPRACTIC, INC.

Chiropractor

8080 MADISON AVE, SUITE 204A
FAIR OAKS, CA 95628

Sacramento County (916) 965-8171

DR. MARLEEN MASUOKA DDS

Dentist (General Practice)

8080 MADISON AVE, SUITE 202
FAIR OAKS, CA 95628

Sacramento County (916) 966-9900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Ballerini's NPI number?

The NPI number for Jennifer Ballerini is 1093966053. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is Jennifer Ballerini located?

Jennifer Ballerini practices at 8080 Madison Ave Ste 200 D, Fair Oaks, CA 95628. The listed phone number is (916) 276-7709.

What is Jennifer Ballerini's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jennifer Ballerini enrolled in Medicare?

No. Jennifer Ballerini has opted out of Medicare through October 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Ballerini was last updated on May 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.