JENNIFER M JACKSON-ALLEN


Address: 147 Stratmore Pl, Stockbridge, GA 30281-1083
Phone: 7707146713

JENNIFER M JACKSON-ALLEN (NPI# 1043705262) 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) 1043705262
Entity Type Individual
Full Name JENNIFER M JACKSON-ALLEN
Practice Address 147 Stratmore Pl
Stockbridge
GA 30281-1083
Practice Telephone 7707146713
Mailing Telephone 7707146713
Enumeration Date 2018-06-29
Last Update Date 2018-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist GA Behavioral Health & Social Service Providers

Office Location

Street Address 147 STRATMORE PL
City STOCKBRIDGE
State GA
Zip Code 30281-1083

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1154883791 Aaliyah Nura Fardan-alexander Nurse's Aide 105 Singletree, Stockbridge, GA 30281 2019-04-02
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1356814172 Kristina Louissaint Nurse Practitioner 650 Country Club Dr, Stockbridge, GA 30281 2019-01-03
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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
1093868903 Medlin Treatment Center Inc Psychologist 110 Eagles Walk, Ste. 100, Stockbridge, GA 30281-7204 2007-01-22
1962935890 Ruffina David Psychologist 301 Country Club Dr, Stockbridge, GA 30281-7350 2017-04-07
1861945545 Megan Kolano Psychologist 25 Main Street, Stockbridge, MA 01262 2016-07-28
1831558238 Jeremy Mark Ridenour Psychologist 25 Main Street, Stockbridge, MA 01262-0962 2016-02-15
1861876963 Michael Blake Psychologist 25 Main St., Office 322, Stockbridge, MA 01262-0962 2015-07-17
1578823290 Daniel Paul Charles Knauss Psychologist 25 Main St, Stockbridge, MA 01262-9701 2012-05-29
1760752919 Lee Damsky Psychologist 25 Main Street, Austen Riggs Center, Stockbridge, MA 01262-0962 2012-01-05
1366618720 Jennifer L. Stevens Psychologist 25 Main St, #217, Stockbridge, MA 01262 2008-05-06
1275745952 Donna M Elmendorf Psychologist 25 Main Street, Stockbridge, MA 01262-0962 2007-05-04
1366587511 Elaine Virginia Demos Psychologist 25 Main Street, Stockbridge, MA 01262 2007-02-21
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Competitor

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City STOCKBRIDGE
Zip Code 30281

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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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