JENNIFER ANN HYDEMAN PHD
NPI 1225306442
Psychologist - Clinical in Buffalo, NY

Active since December 02, 2011PECOS EnrolledAccepts Medicare Assignment
211 LANCASTER AVE, BUFFALO, NY 14222(716) 981-3555 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 10, 2021, Jan 19, 2021, Aug 12, 2019 (3 updates tracked since 2019).

About Jennifer Ann Hydeman Phd NPPES

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

JENNIFER ANN HYDEMAN PHD (NPI 1225306442) is an individual clinical provider in Buffalo, New York, licensed in New York (017749) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2007).

NPPES Registry Identity

NPI1225306442
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNIFER ANN HYDEMANCredential: PHD
Location Address211 LANCASTER AVEBuffalo, NY 14222
Mailing Address211 Lancaster AveBuffalo, NY 14222 · (716) 845-3052 · Fax (716) 598-1355
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2007
Enumeration DateDecember 2, 2011
Last NPPES UpdateJune 10, 20213 updates tracked since enumeration
NPPES CertifiedJune 10, 2021
NPI 1225306442 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 NY · 017749
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.
211 LANCASTER AVE, Buffalo, NY 14222

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Ann Hydeman Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921325978
PECOS Enrollment IDI20150331002430
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14222 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Hydeman's NPI number?

The NPI number for Jennifer Hydeman is 1225306442. It was assigned to this individual provider in the NPPES registry on December 2, 2011.

Where is Jennifer Hydeman located?

Jennifer Hydeman practices at 211 Lancaster Ave, Buffalo, NY 14222. The listed phone number is (716) 981-3555.

What is Jennifer Hydeman's specialty?

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

Is Jennifer Hydeman enrolled in Medicare?

Yes. Jennifer Hydeman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Hydeman was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.