DR. JESSICA BARRY PSY.D., L.P.
NPI 1144566738
Psychologist in Fayetteville, NC

Active since December 31, 2012Opted out of Medicare · through May 22, 2027
3649 CAPE CENTER DR, FAYETTEVILLE, NC 28304(910) 484-1711 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jessica Barry Psy.d., L.p. NPPES

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

DR. JESSICA BARRY PSY.D., L.P. (NPI 1144566738) is an individual psychologist in Fayetteville, North Carolina, licensed in North Carolina (4394) and active in the NPI registry since December 2012. She has opted out of Medicare through May 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144566738
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JESSICA BARRYCredential: PSY.D., L.P.
Location Address3649 CAPE CENTER DRFayetteville, NC 28304-4457
Mailing Address1120 Trinity Pine Ln, Apt 305Raleigh, NC 27607-5089 · (919) 356-3254
Sole ProprietorYes
Enumeration DateDecember 31, 2012
NPI 1144566738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 4394
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3649 CAPE CENTER DR, Fayetteville, NC 28304

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. Jessica Barry Psy.d., L.p. 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 May 22, 2019 through May 22, 2027.

Opt-Out Effective DateMay 22, 2019
Opt-Out In Effect ThroughMay 22, 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.

Other Providers at the Same Location NPPES 20

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

Behavior Technician
3649 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Behavior Technician
3649 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Speech-Language Pathologist
3649 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Behavior Technician
3649 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Behavior Technician
3649 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Behavior Technician
3649 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Behavior Technician
3649 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Behavior Analyst
3649 CAPE CENTER DR
FAYETTEVILLE, NC 28304

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 Jessica Barry's NPI number?

The NPI number for Jessica Barry is 1144566738. It was assigned to this individual provider in the NPPES registry on December 31, 2012.

Where is Jessica Barry located?

Jessica Barry practices at 3649 Cape Center Dr, Fayetteville, NC 28304. The listed phone number is (910) 484-1711.

What is Jessica Barry's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jessica Barry enrolled in Medicare?

No. Jessica Barry has opted out of Medicare through May 22, 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 Jessica Barry was last updated on December 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.