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DR. JENNIFER JEAN BODART PSY.D.
NPI 1851471999
Psychologist - Health Service in Jb Andrews, MD

Active since October 16, 2006PECOS Enrolled
1060 W PERIMETER RD, JB ANDREWS, MD 20762(570) 230-6864 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jennifer Jean Bodart Psy.d. NPPES

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

DR. JENNIFER JEAN BODART PSY.D. (NPI 1851471999) is an individual health service provider in Jb Andrews, Maryland, licensed in Wisconsin (2443-53) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851471999
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameDR. JENNIFER JEAN BODARTCredential: PSY.D.
Location Address1060 W PERIMETER RDJb Andrews, MD 20762-6602
Mailing Address1060 W Perimeter RdJb Andrews, MD 20762-6602 · (571) 230-6864
Phone(570) 230-6864
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1851471999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in WI · 2443-53
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 2443-57 (WI)
1060 W PERIMETER RD, Jb Andrews, MD 20762
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Jean Bodart Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CHELSEA BIANCA PAYNE M.D.
Family Medicine
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (907) 377-6722
MS. PATRICIA BANASZEK HAZARD CRNP
Nurse Practitioner (Obstetrics & Gynecology)
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1400
MR. KOMI VENUNYE GAYAKPA IDC
Military Health Care Provider (Independent Duty Corpsman)
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (651) 354-8825
AMANDA MARIE HAWKINS MD
Obstetrics & Gynecology
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1400
DR. JULIE ANN BANTA PT, DPT, FAAOMPT
Physical Therapist
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-2464
DR. SUBODH ARORA MD
Pediatrics
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (301) 404-9046
MR. JEREMY TROY POWELL PA-C
Physician Assistant
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1143
CASSANDRA VERHOFF MS, RD, LDN
Dietitian, Registered
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-2678

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 Bodart's NPI number?

The NPI number for Jennifer Bodart is 1851471999. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Jennifer Bodart located?

Jennifer Bodart practices at 1060 W Perimeter Rd, Jb Andrews, MD 20762. The listed phone number is (570) 230-6864.

What is Jennifer Bodart's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Jennifer Bodart enrolled in Medicare?

Yes. Jennifer Bodart is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Bodart was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.