DR. JARED LEE WARREN (PSY.D.) – Clinical Psychologist, NPI 1093204117

DR. JARED LEE WARREN (PSY.D.) is a healthcare provider. based in Bradenton, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PY11939 (FL). The NPI Number for DR. JARED LEE WARREN (PSY.D.) is 1093204117

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. JARED LEE WARREN (PSY.D.)
NPI
1093204117
Phone
(941) 753-0064
Address
4835 27TH ST W STE 125
Enumeration Date
3 May 2018
Last Update Date
24 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417530064
Graduation Year
2022 (4 years ago)
PAC ID
0143681262
Group Practice PAC ID
0547234379
Professional Enrollment ID
I20230804001149
Address ID
FL342071759BR4835XWXXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. JARED LEE WARREN (PSY.D.)

  • 4835 27TH ST W STE 125

    BRADENTON, FL 342071759

    Phone: (941) 753-0064

    Type: Mailing

  • 102, Fairway Drive, College Park, Deerfield Beach, Broward County, Florida, 33441, United States

    DEERFIELD BEACH, FL 334411817

    Phone: (888) 880-9270

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230804001149IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour5111$0
View full utilization report →

Insurance plans in this area (ZIP 34207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547234379View full group profile
NameSpecialtyState
-FL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistNC
Clinical PsychologistTX
Clinical PsychologistFL
Clinical Social WorkerFL
-FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JARED LEE WARREN (PSY.D.)?
DR. JARED LEE WARREN (PSY.D.) — NPI 1093204117 — is the standard way to identify this listing.
Is DR. JARED LEE WARREN (PSY.D.) still practicing?
DR. JARED LEE WARREN (PSY.D.) is currently listed as active in the public NPI registry.
What is DR. JARED LEE WARREN (PSY.D.) best known for clinically?
Directory data describes DR. JARED LEE WARREN (PSY.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JARED LEE WARREN (PSY.D.)?
DR. JARED LEE WARREN (PSY.D.)'s geographic hint is Bradenton, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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