MRS. ANGELA O'BRIANT HERZOG


Address: Forty-five Hundred Interstate Fifty-five North, Suite 208, Jackson, MS 39211
Phone: 6019815757

MRS. ANGELA O'BRIANT HERZOG (NPI# 1215157425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215157425
Entity Type Individual
Full Name MRS. ANGELA O'BRIANT HERZOG
Credential PH.D.
Practice Address Forty-five Hundred Interstate Fifty-five North
Suite 208
Jackson
MS 39211
Practice Telephone 6019815757
Practice Fax Number 6019815494
Mailing Telephone 6019815757
Mailing Fax Number 6019815494
Enumeration Date 2007-04-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 25-348 MS Behavioral Health & Social Service Providers

Office Location

Street Address FORTY-FIVE HUNDRED INTERSTATE FIFTY-FIVE NORTH
SUITE 208
City JACKSON
State MS
Zip Code 39211

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760092878 Bio-medical Applications of Mississippi, Inc. Clinic/Center 5722 I-55 N Frontage Road, Jackson, MS 39211 2020-08-04
1548881048 Gloria Dansby-giles Counselor 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 2020-05-06
1821628223 Alice Powell Taylor St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 2020-01-24
1356980643 Bethany Powers Pharmacist 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 2020-01-03
1316585581 Deborah Magoun Rosenbaum Pharmacist [email protected], 4910 I-55 North, Jackson, MS 39211 2019-12-18
1285108357 Eric Wood Counselor 4623 Maurey Rd, Jackson, MS 39211 2019-01-11
1649758301 Isluv Robertson Registered Nurse 1405 E Northside Dr, Jackson, MS 39211 2018-08-03
1659863066 Jonbrighton Childs Russell Student in an Organized Health Care Education/Training Program 4343 Dalrymple Ct, Jackson, MS 39211 2018-05-31
1225557598 Regina Ann Day Dietitian, Registered 3800 I 55 North Frontage Road, Jackson, MS 39211 2017-09-18
1023558525 Agilitas Usa Inc Clinic/Center 120 District Blvd E, Suite D102, Jackson, MS 39211 2017-03-02
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy 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.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144792169 Snake River Consulting LLC Psychologist 430 Pine Dr, Jackson, WY 83001-8417 2019-01-02
1972834604 Sue C Radtke Psychologist 4476 Bittersweet Ct, Jackson, WI 53037-9754 2010-01-20
1043549280 University of Mississippi Medical Center Psychologist 2500 N State St # H819-01, Jackson, MS 39216-4500 2009-12-17
1356511562 John Patterson Thorn Psychologist 270 Veronica Lane, Suite C-1, Jackson, WY 83001-0000 2008-03-04
1013109552 Terri Martin Revelle Psychologist 111 E. Jefferson St., Jackson, NC 27845 2007-08-17
1184830143 Toby S Altfeld Psychologist 156 C West University Parkway, Jackson, TN 38305 2007-05-15
1497968911 Mollie Wyatt Psychologist 4055 I-55 North, Suite 293, Jackson, MS 39211 2007-05-08
1124249719 John David Vickery Psychologist 3363 Highway 45 North, Jackson, TN 38305 2007-05-01
1295877165 Rose Margaret Hochheiser Psychologist 140 King Street, Jackson, WY 83001 2007-02-13
1932253291 Julia Goldensohn Psychologist 610 W. Broadway, Lo2g, Jackson, WY 83001 2007-01-23
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City JACKSON
Zip Code 39211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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