AEGIS PSYCHOLOGICAL CONSULTING LLC (NPI# 1164703047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164703047 |
Entity Type | Organization |
Organization Name | AEGIS PSYCHOLOGICAL CONSULTING LLC |
Practice Address |
208 E. Rusk St. Jacksonville TX 75766 |
Mailing Address |
P.o. Box 2621 Jacksonville TX 75766 |
Practice Telephone | 9032626175 |
Practice Fax Number | 9035349311 |
Mailing Telephone | 9032626175 |
Mailing Fax Number | 9035349311 |
Enumeration Date | 2011-09-06 |
Last Update Date | 2012-05-01 |
Authorized Official Name | NIKOLAOS KOMBOS (CLINICAL PSYCHOLOGIST) |
Authorized Official Telephone | 9032626175 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 23624 | TX | Behavioral Health & Social Service Providers |
Street Address |
208 E. RUSK ST. |
City | JACKSONVILLE |
State | TX |
Zip Code | 75766 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
1881776912 | Mark Allan Thompson | Dentist | 701 S Main, Jacksonville, TX 75766 | 2006-10-19 |
Find all providers in zip 75766 |
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 |
---|---|---|---|---|
1376144774 | Jennifer Mcmanus | Psychologist | 4143 San Juan Ave, Jacksonville, FL 32210-3333 | 2020-11-03 |
1952927600 | Lourdes Portales Dale | Psychologist | 580 W 8th St Fl Towerii6, Jacksonville, FL 32209-6533 | 2020-06-18 |
1114414992 | David Herbert Gilliland | Psychologist | 2752 Canyon Falls Dr, Jacksonville, FL 32224-4841 | 2018-04-17 |
1588903777 | Darrin John Kirkendall | Psychologist | 3901 University Blvd S Ste 203, Jacksonville, FL 32216-4389 | 2013-02-07 |
1851662969 | Lisa-mae Sinclair Armbrust | Psychologist | 11111 San Jose Blvd Ste 70, #185, Jacksonville, FL 32223-7274 | 2012-01-20 |
1366724569 | Asa Therapeutic Services, Pllc | Psychologist | 200 Valencia Dr Ste 128, Jacksonville, NC 28546-6313 | 2011-09-13 |
1871872762 | Rebecca Tagg | Psychologist | 1179 Mccallister Rd, Jacksonville, NC 28540-8796 | 2011-08-09 |
1942597901 | Nancy Ghali | Psychologist | 4006 Henderson Dr., Jacksonville, NC 28546 | 2011-06-28 |
1457689911 | Leslie Herbert Krieger | Psychologist | 3834 Reedpond Dr S, Jacksonville, FL 32223-4820 | 2009-11-21 |
1245463090 | Lauren Brooke Yerkes | Psychologist | 1 Unf Dr, Counseling Center, Building 2, Room 2300, Jacksonville, FL 32224-7699 | 2009-08-27 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 75766 |
Please comment or provide details below to improve the information on AEGIS PSYCHOLOGICAL CONSULTING LLC.
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.