DR. JENNIFER N. TRAVIS SEIDL (PH.D.) – Clinical Neuropsychologist, NPI 1407372881

DR. JENNIFER N. TRAVIS SEIDL (PH.D.) is a healthcare provider. based in Clearwater, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY6979 (FL). The NPI Number for DR. JENNIFER N. TRAVIS SEIDL (PH.D.) is 1407372881

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER N. TRAVIS SEIDL (PH.D.)
NPI
1407372881
Phone
(727) 532-0002
Address
PO BOX 10744
Enumeration Date
17 August 2017
Last Update Date
31 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7272986121
Graduation Year
2015 (11 years ago)
PAC ID
9436403128
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20181115002026
Address ID
FL337563394CL430XXSTXX407
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for DR. JENNIFER N. TRAVIS SEIDL (PH.D.)

  • PO BOX 10744

    CLEARWATER, FL 337578744

    Phone: (727) 532-0002

    Fax: (727) 266-4943

    Type: Mailing

  • Morton Plant Street, Clearwater, Pinellas County, Florida, 33756, United States

    CLEARWATER, FL 33756

    Phone: (727) 461-8635

    Fax: (727) 333-6038

    Type: Location

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: 2018-11-15

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
I20181115002026IClinical 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
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes55164$0
96133Evaluation of neuropsychological test, each additional hour11367$0
96116Exam of neurobehavioral status, first hour7168$0
96121Exam of neurobehavioral status, each additional hour7160$0
96132Evaluation of neuropsychological test, first hour6967$0
View full utilization report →

Insurance plans in this area (ZIP 33757)

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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: 6406753623View full group profile

Reviews

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Frequently asked questions

How is DR. JENNIFER N. TRAVIS SEIDL (PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JENNIFER N. TRAVIS SEIDL (PH.D.) with NPI 1407372881.
Can I rely on DR. JENNIFER N. TRAVIS SEIDL (PH.D.) being an active provider?
As of the registry snapshot, DR. JENNIFER N. TRAVIS SEIDL (PH.D.) is marked active.
What taxonomy line describes DR. JENNIFER N. TRAVIS SEIDL (PH.D.)?
For research purposes, treat DR. JENNIFER N. TRAVIS SEIDL (PH.D.) as Clinical Neuropsychologist in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. JENNIFER N. TRAVIS SEIDL (PH.D.) list a practice location?
Patients near Clearwater, Florida may find DR. JENNIFER N. TRAVIS SEIDL (PH.D.) in results; validate coverage separately.
Is the information about DR. JENNIFER N. TRAVIS SEIDL (PH.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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