BEHAVIORAL MEDICINE CLINIC,PA (NPI# 1588846281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588846281 |
Entity Type | Organization |
Organization Name | BEHAVIORAL MEDICINE CLINIC,PA |
Practice Address |
5000 Hwy 39 N Meridian MS 39301-1021 |
Practice Telephone | 6014822400 |
Mailing Telephone | 6014822400 |
Enumeration Date | 2007-12-04 |
Last Update Date | 2010-06-01 |
Authorized Official Name | DR. TERRY JORDAN (OWNER) |
Authorized Official Telephone | 6014822400 |
Authorized Official Credential | M.M. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
14095 | MS | Behavioral Health & Social Service Providers |
Street Address |
5000 HWY 39 N |
City | MERIDIAN |
State | MS |
Zip Code | 39301-1021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942574587 | Alliance Health Center Phycians | Specialist | 5000 Hwy 39 N, Meridian, MS 39301-1021 | 2012-02-29 |
1679850150 | Alliance Health Center Inc. | Psychiatric Hospital | 5000 Hwy 39 N, Meridian, MS 39301-1021 | 2011-11-10 |
1811156326 | Alliance Health Center, Inc. | Psychiatric Unit | 5000 Hwy 39 N, Meridian, MS 39301-1021 | 2008-06-09 |
1366601874 | Alliance Health Center | Medicare Defined Swing Bed Unit | 5000 Hwy 39 N, Meridian, MS 39301-1021 | 2008-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
Find all providers in zip 39301 |
Taxonomy Code | 103TP0016X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Prescribing (Medical) |
Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447886502 | Rico Smith | Psychologist | 314 E Green St, Macon, MS 39341-2850 | 2020-03-19 |
1922374057 | Toni L Ladner | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2012-03-22 |
1225303068 | Mindful Solution, LLC | Psychologist | 1 Commerce Dr, Suite 205, Hattiesburg, MS 39402-1499 | 2012-03-13 |
1790087393 | Jackson Psychiatry Group | Psychologist | 1855 Lakeland Dr, Suite P121, Jackson, MS 39216-4913 | 2010-12-02 |
1629378971 | Pmt Clinic | Psychologist | 1855 Lakeland Dr, Suite P101, Jackson, MS 39216-4913 | 2010-11-02 |
1558580662 | Beverly Tedford | Psychologist | 601 Foote St, Corinth, MS 38834-4834 | 2007-04-25 |
1386860898 | Wellness Clinic, P.C. | Psychologist | 5740 Getwell Rd, Bldg 4c, Southaven, MS 38672-6346 | 2007-04-17 |
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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.