DR. JOHN DAVID VICKERY (NPI# 1124249719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124249719 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID VICKERY |
| Credential | PH.D. |
| Practice Address |
3363 Highway 45 North Jackson TN 38305 |
| Practice Telephone | 7316648444 |
| Mailing Telephone | 7316648444 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | P1021 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972728863 | John M. Vickery | Dentist | 1290 Shermer Rd, Suite #3, Northbrook, IL 60062-4567 | 2007-04-16 |
| 1336364793 | John David Vickery Iv | Allergy & Immunology | 37 Calumet Pkwy, Building F, Suite 201, Newnan, GA 30263-6734 | 2007-04-13 |
| Street Address |
3363 HIGHWAY 45 NORTH |
| City | JACKSON |
| State | TN |
| Zip Code | 38305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427270834 | The David Vickery Limited Partnership | Psychologist | 3363 Highway 45 North, Jackson, TN 38305 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| 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 |
| 1215157425 | Angela O'briant Herzog | Psychologist | Forty-five Hundred Interstate Fifty-five North, Suite 208, Jackson, MS 39211 | 2007-04-27 |
| 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 |
| 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.