DR. JACQUELINE DEMICHELE KLOSS PH.D.
NPI 1821446170
Psychologist in Philadelphia, PA

Active since May 27, 2016Opted out of Medicare · through Apr 1, 2027
3535 MARKET ST STE 670, PHILADELPHIA, PA 19104(215) 410-8167 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jacqueline Demichele Kloss Ph.d. NPPES

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

DR. JACQUELINE DEMICHELE KLOSS PH.D. (NPI 1821446170) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS015430) and active in the NPI registry since May 2016. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821446170
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JACQUELINE DEMICHELE KLOSSCredential: PH.D.
Location Address3535 MARKET ST STE 670Philadelphia, PA 19104
Mailing Address3535 Market St Ste 670Philadelphia, PA 19104-3309 · (215) 410-8167
Sole ProprietorNo
Enumeration DateMay 27, 2016
Last NPPES UpdateJune 4, 2018
NPI 1821446170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS015430
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.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PS015430 (PA)
3535 MARKET ST STE 670, Philadelphia, PA 19104

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. Jacqueline Demichele Kloss Ph.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 April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 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 2

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

Social Worker (Clinical)
3535 MARKET ST STE 670
PHILADELPHIA, PA 19104
Psychologist (Clinical)
3535 MARKET ST STE 670
PHILADELPHIA, PA 19104

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 Jacqueline Kloss's NPI number?

The NPI number for Jacqueline Kloss is 1821446170. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Jacqueline Kloss located?

Jacqueline Kloss practices at 3535 Market St Ste 670, Philadelphia, PA 19104. The listed phone number is (215) 410-8167.

What is Jacqueline Kloss's specialty?

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

Is Jacqueline Kloss enrolled in Medicare?

No. Jacqueline Kloss has opted out of Medicare through April 1, 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 Jacqueline Kloss was last updated on June 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.