NANCY H. GOLDMAN, LLC (NPI# 1023402047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023402047 |
| Entity Type | Organization |
| Organization Name | NANCY H. GOLDMAN, LLC |
| Practice Address |
3000 Old Canton Rd Suite 465 Jackson MS 39216-4200 |
| Practice Telephone | 6019467482 |
| Mailing Telephone | 6019467482 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | MRS. NANCY H GOLDMAN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6019467482 |
| Authorized Official Credential | PMHCNS,BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | R624144 | MS | Behavioral Health & Social Service Providers |
| Street Address |
3000 OLD CANTON RD SUITE 465 |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568431963 | A Terrel Williams | Ophthalmology | 3000 Old Canton Rd, Suite 350, Jackson, MS 39216-4200 | 2006-03-16 |
| 1821535113 | Josh R Shufelt | Physician Assistant | 3000 Old Canton Rd, Suite 305, Jackson, MS 39216-4200 | 2017-01-24 |
| 1730476078 | Christopher Haley Carlton | Dentist | 3000 Old Canton Rd, Jackson, MS 39216-4200 | 2011-07-07 |
| 1336451624 | John P.f.h. Vanderloo | Family Medicine | 3000 Old Canton Rd, Ste 240, Jackson, MS 39216-4235 | 2010-07-02 |
| 1710201454 | Laura E Mccalop Do LLC | Ophthalmology | 3000 Old Canton Rd, Suite 305, Jackson, MS 39216-4200 | 2010-03-24 |
| 1265581599 | Lakeland Optical, LLP | Eyewear Supplier (Equipment, not the service) | 3000 Old Canton Rd, Suite 100, Jackson, MS 39216-4200 | 2007-01-09 |
| 1659468544 | Nancy Hope Goldman | Counselor | 3000 Old Canton Rd, Suite 465, Jackson, MS 39216-4200 | 2006-10-10 |
| 1629181425 | Thomas Hargrave Cabell | Ophthalmology | 3000 Old Canton Rd, Suite 405, Jackson, MS 39216-4200 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073093894 | Virginia Catherine Persinger | Clinical Neuropsychologist | 1350 E Woodrow Ave, Jackson, MS 39216-5112 | 2018-08-21 |
| 1780963793 | Joy Humphreys Clark | Clinical Neuropsychologist | 1350 E. Woodrow Wilson, Jackson, MS 39216-5112 | 2011-08-08 |
| 1083931323 | Eunja Park Talbot | Clinical Neuropsychologist | 23 Hardwood Dr, Jackson, NJ 08527-5349 | 2010-04-27 |
| 1740325786 | John S Hand Phd PC & Associates | Clinical Neuropsychologist | 1200 N West Ave Ste 812, Jackson, MI 49202-2180 | 2007-02-20 |
| 1740361880 | Wendy Elaine Laakmann | Clinical Neuropsychologist | 460 South Cache Street, Jackson, WY 83001 | 2006-10-17 |
| 1891919213 | Ted Bennett | Clinical Neuropsychologist | 1500 E Woodrow Wilson Ave, Office A370, Jackson, MS 39216-5116 | 2007-04-13 |
| 1942359096 | Clea C Evans | Clinical Neuropsychologist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2007-01-09 |
| 1053327759 | Robert D Annett | Clinical Neuropsychologist | 2500 N State St, Jackson, MS 39216-4500 | 2006-08-01 |
| 1770599110 | University Neurology Group, Pllc | Clinical Neuropsychologist | 2500 North State Street, Jackson, MS 39216 | 2006-07-31 |
| 1689689010 | Edward Manning | Clinical Neuropsychologist | 2500 North State Street, Dept of Neurology, Jackson, MS 39216 | 2006-07-31 |
| Find all providers in JACKSON | ||||
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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.