JESSICA SHANNA JAMES (NPI# 1205363447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205363447 |
| Entity Type | Individual |
| Full Name | JESSICA SHANNA JAMES |
| Credential | PHD |
| Practice Address |
32 Millbranch Rd Ste 40 Hattiesburg MS 39402-1673 |
| Practice Telephone | 6012555264 |
| Practice Fax Number | 8666250559 |
| Mailing Telephone | 6012555264 |
| Mailing Fax Number | 8666250559 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
20043221A | IN | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 355 W 16th St Ste 2800, Indianapolis, IN 462022279 | (317) 963-7308 | 3179637325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861004137 | Jessica Andrea James | Massage Therapist | 1372 E Longview Dr Apt 15, Woodbridge, VA 22191-2372 | 2020-08-18 |
| 1497365951 | Jessica James | Registered Nurse | 113 Nassau St Apt 14e, New York, NY 10038-2449 | 2020-08-08 |
| 1902415292 | Jessica Carol James | Home Health Aide | 4185 President Dr # De, Cincinnati, OH 45225-1023 | 2020-07-23 |
| 1851816912 | Jessica James | Physical Therapist | 1801 N Senate Ave # Ag053, Indianapolis, IN 46202 | 2017-08-10 |
| 1073961629 | Jessica James | Nurse Practitioner | 7109 Calientito Loop, Santa Fe, NM 87507-4613 | 2016-05-24 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1134532393 | Jessica James | Foster Care Agency | 3920 W Ann Rd Ste 100, North Las Vegas, NV 89031-3840 | 2014-06-05 |
| 1891311072 | Jessica Ann James | Audiologist | 5255 E Stop 11 Rd Ste 405, Indianapolis, IN 46237-6396 | 2020-06-23 |
| 1467001446 | Jessica James | Community Health Worker | 222 E Main St Ste 117, Barstow, CA 92311-2361 | 2019-09-11 |
| 1881150456 | Jessica Elaine James | Social Worker | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2019-02-19 |
| Street Address |
32 MILLBRANCH RD STE 40 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700266947 | Kayla Elizabeth Bates-brantley | Behavioral Analyst | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402 | 2015-06-03 |
| 1851992200 | Amanda Stanley | Behavior Technician | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2020-11-03 |
| 1083232342 | Lauren Peak | Behavior Technician | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2020-07-13 |
| 1699393751 | Carmen A Cavin | Behavior Technician | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2020-07-06 |
| 1538780754 | Tiffany Mixon | Behavior Technician | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2020-04-28 |
| 1295368223 | Claudia Abril-ochoa | Behavior Technician | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2020-02-18 |
| 1356971089 | Alexis Matthews | Behavior Technician | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2020-01-22 |
| 1811539075 | Tiffany Karoly | Behavior Technician | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2019-10-09 |
| 1457993727 | Dixie Brown | Behavior Technician | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2019-10-08 |
| 1144885856 | Kristy Larsen | Behavior Technician | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2019-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942563507 | Mallory Malkin | Psychologist | 1 Lincoln Pkwy, 202, Hattiesburg, MS 39402-3262 | 2012-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891136818 | Children's Psychiatric Clinic | Psychologist | 3531 Lakeland Dr Ste 1052, Flowood, MS 39232-8016 | 2013-07-08 |
| 1184724569 | James B Austin | Psychologist | 1855 Crane Ridge Drive, Suite A, Jackson, MS 39216-4944 | 2006-09-25 |
| 1093818064 | John E Fontaine Iv | Psychologist | 1855 Crane Ridge Dr Ste A, Jackson, MS 39216-4944 | 2006-09-06 |
| 1386285765 | Danny J Olmi | Psychologist | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-10-07 |
| 1376094532 | Jackson Family First | Psychologist | 125 Cedarwood Dr, Jackson, MS 39212-2208 | 2016-10-21 |
| 1184063505 | Diana J Whalen | Psychologist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-06-19 |
| 1942646161 | Melora Wiley | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2013-05-14 |
| 1316290067 | Andres G Viana | Psychologist | 2500 N State St, Dept of Psychiatry, Jackson, MS 39216-4500 | 2012-10-18 |
| 1356625081 | Crystal S. Lim | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2011-09-29 |
| 1619907771 | Dorothy Scattone | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on JESSICA SHANNA JAMES.
| 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.