JENNIFER BETH MCDERMOTT PH.D.
NPI 1568510824
Psychologist - Clinical in Saint Paul, MN

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
1919 UNIVERSITY AVE W, SUITE 200, SAINT PAUL, MN 55104(651) 266-7992(651) 266-7854 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer Beth Mcdermott Ph.d. NPPES

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

JENNIFER BETH MCDERMOTT PH.D. (NPI 1568510824) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (LP 4569) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1568510824
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNIFER BETH MCDERMOTTCredential: PH.D.
Location Address1919 UNIVERSITY AVE W, SUITE 200Saint Paul, MN 55104-3453
Mailing Address1755 Ashland AveSaint Paul, MN 55104-6168 · (651) 917-3843 · Fax (651) 266-7854
Fax(651) 266-7854
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568510824 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 MN · LP 4569
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.
1919 UNIVERSITY AVE W, Saint Paul, MN 55104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Beth Mcdermott Ph.d. 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 ID749212801
PECOS Enrollment IDI20050909000166
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Mcdermott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
450 SYNDICATE ST N, #300
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

Social Worker (Clinical)
1919 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Social Worker (Clinical)
1919 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Social Worker (Clinical)
1919 UNIVERSITY AVE W, SUITE, 200
SAINT PAUL, MN 55104
Psychologist (Clinical)
1919 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Family Medicine (Addiction Medicine)
1919 UNIVERSITY AVE W
ST PAUL, MN 55104
Psychologist (Clinical)
1919 UNIVERSITY AVE W, SUITE 200
SAINT PAUL, MN 55104
Counselor
1919 UNIVERSITY AVE W, 200
SAINT PAUL, MN 55104
Psychologist
1919 UNIVERSITY AVE W, SUITE 200
SAINT PAUL, MN 55104

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 Mcdermott's NPI number?

The NPI number for Jennifer Mcdermott is 1568510824. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Jennifer Mcdermott located?

Jennifer Mcdermott practices at 1919 University Ave W Suite 200, Saint Paul, MN 55104. The listed phone number is (651) 266-7992.

What is Jennifer Mcdermott's specialty?

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

Is Jennifer Mcdermott enrolled in Medicare?

Yes. Jennifer Mcdermott 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.

Which organization bills Medicare for Jennifer Mcdermott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Mcdermott reassigns Medicare benefits to Group Health, Inc. (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Mcdermott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Mcdermott accept?

Health plans from HealthPartners list Jennifer Mcdermott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Mcdermott was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.