CMS-1500 Box 24J / 33a • NPI
1124667795
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103G00000X
Licensed & Credentialed Clinical Neuropsychologist
Box 32 Service Location & ZIP+4
18 KENDRA CT, WINTER HAVEN, FL, 33880-1190
✓ 9-Digit EDI 837 ZIP+4 (33880-1190)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1124667795 (JENNIFER ANN BARTON, Psy.D) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1124667795 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JENNIFER ANN BARTON, Psy.D |
| Plain-English Specialty | Licensed & Credentialed Clinical Neuropsychologist NUCC Code: 103G00000X (Clinical Neuropsychologist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 18 KENDRA CT, WINTER HAVEN, FL, 33880-1190 |
| Practice Telephone / Fax | Tel: (305) 562-9432 |
| Administrative Mailing Address | 18 KENDRA CT, WINTER HAVEN, FL, 33880-1190 |
| Enumeration & Last Sync | Enumerated: 2019-12-31 | CMS Record Updated: 2023-12-13 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (103G00000X)
What Does Taxonomy Code 103G00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103G00000X translates to:
"Licensed & Credentialed Clinical Neuropsychologist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JENNIFER ANN BARTON, Psy.D)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103G00000X — Clinical NeuropsychologistPlain English: Licensed & Credentialed Clinical Neuropsychologist | State: FL | License: 10146 | Primary: Secondary |
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: FL | License: PY10146 | Primary: Secondary |
103TC0700X — Psychologist, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical | State: FL | License: 10146 | Primary: Secondary |
103TR0400X — Psychologist, RehabilitationPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation | State: FL | License: 10146 | Primary: Secondary |
103G00000X — Clinical NeuropsychologistPlain English: Licensed & Credentialed Clinical Neuropsychologist | State: CA | License: 31653 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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