DR. JESSICA PETERS MYSZAK (NPI# 1114224656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114224656 |
| Entity Type | Individual |
| Full Name | DR. JESSICA PETERS MYSZAK |
| Credential | PH.D. |
| Practice Address |
100 N Main St Suite 2315 Memphis TN 38103-5011 |
| Mailing Address |
100 N. Main St Suite 2315 Memphis TN 38103 |
| Practice Telephone | 9015272248 |
| Mailing Telephone | 9015272248 |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2013-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
3011 | TN | Behavioral Health & Social Service Providers |
| Street Address |
100 N MAIN ST SUITE 2315 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154758746 | William L. Fulliton | Psychologist | 100 N Main St, Suite 2315, Memphis, TN 38103-5011 | 2013-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518307578 | Anitra Danielle Shelton-quinn | Psychologist | 2930 Airways Blvd, Memphis, TN 38116-3844 | 2013-07-04 |
| 1568583839 | Jeane Perkins Chapman | Psychologist | 3762 Masonwood Ln, Memphis, TN 38116-4012 | 2007-04-03 |
| 1811387293 | Julie Decker Hendrick | Psychologist | 650 New York St, Memphis, TN 38104-5536 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938076 | Ashley Young | Psychologist | 128 Farmbrook Ct, Murfreesboro, TN 37128-2995 | 2020-06-26 |
| 1366061467 | Polly Palmer | Psychologist | 925 Granada Ave, Nashville, TN 37206-3425 | 2020-04-09 |
| 1093362733 | Janita Rhodes | Psychologist | 35 Williamson Rd, Denmark, TN 38391-1828 | 2019-08-19 |
| 1922504901 | Vincent Scott Hooper | Psychologist | 6112 Mont Richer Ave, Knoxville, TN 37918-9314 | 2018-03-30 |
| 1649792813 | Debbie Deberry | Psychologist | 133 Mecklinburg Dr, Bolivar, TN 38008-1747 | 2017-07-10 |
| 1538691605 | Rosemarie Morelan | Psychologist | 128 County Road 801, Etowah, TN 37331-5211 | 2017-03-29 |
| 1649718560 | Tera Bradley | Psychologist | 108 Stirton Rd, Nashville, TN 37210-5120 | 2017-02-11 |
| 1912445834 | Katherine Wilds Price | Psychologist | 643 Blackstone Ave, Madison, TN 37115-4103 | 2017-02-11 |
| 1821461856 | Susan D. Sasse | Psychologist | 614 Georgia Ave, Signal Mountain, TN 37377-1814 | 2015-11-13 |
| 1114358108 | Michelle Fast | Psychologist | 205 Oak Grove Rd, Madisonville, TN 37354-5930 | 2013-12-02 |
| Find all providers with the same taxonomy | ||||
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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.