PAYNE BEHAVIORAL MEDICINE


Address: 4005 N State St Ste N, Jackson, MS 39206-5755
Phone: 6015068735

PAYNE BEHAVIORAL MEDICINE (NPI# 1215375746) 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) 1215375746
Entity Type Organization
Organization Name PAYNE BEHAVIORAL MEDICINE
Other Organization Name PAYNE BEHAVIORAL HEALTH
Practice Address 4005 N State St Ste N
Jackson
MS 39206-5755
Practice Telephone 6015068735
Practice Fax Number 6017672747
Mailing Telephone 6015068735
Mailing Fax Number 6017672747
Enumeration Date 2013-06-06
Last Update Date 2013-06-06
Authorized Official Name DR. NANETTA PAYNE (FOUNDER/PRESIDENT)
Authorized Official Telephone 6015068735
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
48841 MS Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Payne Behavioral Health Doing Business As Name - Organization

Office Location

Street Address 4005 N STATE ST STE N
City JACKSON
State MS
Zip Code 39206-5755

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023661824 Latoya Lanette Trunell Occupational Therapy Assistant 787 East Northside Drive, Jackson, MS 39206 2019-07-20
1649839291 Andrew Harris Dentist 4505 I-55 Frontage Rd. N, Jackson, MS 39206 2019-06-07
1679065916 Savannah Lee Zachry Physical Therapist 5140 Galaxie Dr Ste 108, Jackson, MS 39206 2018-06-02
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1841719903 Yolanda Yvette Bell Nurse Practitioner 6064 Whitestone Rd, Jackson, MS 39206 2017-09-10
1760907117 Anthony Brown Jr. Physical Therapist 5411 I-55 North, Jackson, MS 39206 2017-08-07
1114457132 Ambric N Williams Occupational Therapy Assistant 6017 Whitestone Rd, Jackson, MS 39206 2017-06-13
1952835613 Peak Chiropractic Care, LLC Chiropractor 4915 I-55 North, Suite 201b, Jackson, MS 39206 2017-04-19
1447798293 Peterkin and Associates of Mississippi Inc Community/Behavioral Health 5155 Galaxie Drive, Suite F, Jackson, MS 39206 2017-02-01
1952844219 Jennifer Penick Counselor 460 Briarwood Drive, Suite 510, Jackson, MS 39206 2016-11-18
Find all providers in zip 39206

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043756174 Maribeth L. Hesser Psychologist 6675 N Upper Cascade Dr, Jackson, WY 83001-9390 2017-01-12
1598002610 Kimberly D Weaver Psychologist 207 First Street, Jackson, MI 49201 2013-01-09
1497027775 Fitness Clinic Psychologist 2219 Greenway Dr, Jackson, MS 39204-3202 2012-02-02
1760752976 Mitchell S. Weisbrod, Psy.d., Pllc Psychologist 115 S West Ave Ste 1, Jackson, MI 49201-2085 2012-01-04
1275830887 Martin E Cleveland Phd Pllc Psychologist 5 Brentmeade Cv, Jackson, TN 38305-6448 2011-02-16
1154636611 Shannon Monique Moore Psychologist 1675 Lakeland Dr Ste 304, Jackson, MS 39216 2010-08-09
1598076903 Nanetta S Payne Psychologist 4005 N State St, Suite N, Jackson, MS 39206-5755 2010-06-30
1932422763 Marion Counseling Services, Pllc Psychologist 2095 Dunbarton Dr, Suite 103, Jackson, MS 39216-5017 2010-03-08
1457548737 Deborah Ruddy Hansen Psychologist 6 Universal Way, Jackson, MI 49202-1455 2007-10-01
1902006737 Ena C Knott-scott Psychologist 1264 Wooddell Dr, Jackson, MS 39212-4045 2007-07-19
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39206

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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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