JIGSAW BEHAVIORAL ACADEMY (NPI# 1295387868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295387868 |
| Entity Type | Organization |
| Organization Name | JIGSAW BEHAVIORAL ACADEMY |
| Practice Address |
2175 Durham Ave Memphis TN 38127-3409 |
| Mailing Address |
1551 48th Ave Meridian MS 39307-5413 |
| Practice Telephone | 9015012185 |
| Mailing Telephone | 9013009496 |
| Mailing Fax Number | 9016668440 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | MRS. DONESHA KING (CEO) |
| Authorized Official Telephone | 9015012185 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2175 DURHAM AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38127-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073155628 | Whitney Walls | Counselor | 2175 Durham Ave, Memphis, TN 38127-3409 | 2019-10-16 |
| 1518517770 | Jasmine Smith | Behavior Technician | 2175 Durham Ave, Memphis, TN 38127-3409 | 2019-09-18 |
| 1245880400 | Darrin Beecham | Behavior Technician | 2175 Durham Ave, Memphis, TN 38127-3409 | 2019-09-18 |
| 1306496963 | Christina Ewing | Behavior Technician | 2175 Durham Ave, Memphis, TN 38127-3409 | 2019-09-16 |
| 1316596521 | Shelia Martin-woods | Social Worker | 2175 Durham Ave, Memphis, TN 38127-3409 | 2019-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
| 1891060570 | Phylantyniese Lashunda Stone | Non-emergency Medical Transport (VAN) | 2790 N. Watkins, Memphis, TN 38127 | 2012-03-14 |
| 1982916326 | Linda Faye Johnson | Pharmacist | 2655 Frayser Blvd., Memphis, TN 38127 | 2010-07-13 |
| 1215171046 | M.g. Services, LLC | Home Health | 3065 Thomas St., Memphis, TN 38127 | 2009-04-23 |
| 1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
| 1467621334 | Cet of Memphis, LLC | Community/Behavioral Health | 2470 Capewood Dr, Memphis, TN 38127 | 2008-02-26 |
| 1912074030 | Medic Transportation, LLC. | Ambulance | 3180 Millington Rd., Memphis, TN 38127 | 2006-11-30 |
| 1609974450 | Walgreen Co. | Pharmacy | 3100 Thomas St., Memphis, TN 38127 | 2006-09-20 |
| 1871541177 | Clarice Weathers Mullinax | Family Medicine | 3124 North Thomas Street, Christ Community Health Services Inc, Memphis, TN 38127 | 2006-05-05 |
| 1295251619 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2670 Frayser Blvd, Memphis, TN 38127 | 2017-08-17 |
| Find all providers in zip 38127 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889823 | Infinite Changes Aba Therapy & Autism Services | Community/Behavioral Health | 5115 Covington Way Ste 5, Memphis, TN 38134-5619 | 2020-10-20 |
| 1922643220 | Rs Medical Services Ltd | Community/Behavioral Health | 2700 Jackson Ave Bldg 1, Memphis, TN 38108-3330 | 2019-11-10 |
| 1790337699 | Clean, Inc. | Community/Behavioral Health | 3146 Write Pl Apt 4, Memphis, TN 38128-4535 | 2019-07-10 |
| 1861050882 | Divine Trinity Outreach Center | Community/Behavioral Health | 4670 Mary Angela Rd, Memphis, TN 38109-4802 | 2019-06-04 |
| 1740749175 | Sunflower Counseling Service Pllc | Community/Behavioral Health | 6628 Elmore Woods Cv, Memphis, TN 38134-4745 | 2019-03-15 |
| 1548730914 | Giles Therapeutic Solutions | Community/Behavioral Health | 4234 Sunnyslope Dr, Memphis, TN 38141-7063 | 2018-11-28 |
| 1184165953 | Dr.lopez Spiritual Family Counseling | Community/Behavioral Health | 4615 Meadow Cliff Dr, Memphis, TN 38125-3274 | 2017-03-13 |
| 1528519634 | Bruce Professional Counseling Services | Community/Behavioral Health | 8159 Green Belt Dr, Memphis, TN 38125-4618 | 2016-10-24 |
| 1336690916 | Ameer Homecare Services,llc | Community/Behavioral Health | 119 Racine St, Suite 103, Memphis, TN 38111-2704 | 2016-10-19 |
| 1023566999 | Up-ward Aba | Community/Behavioral Health | 2068 Evelyn Ave, Memphis, TN 38104-5416 | 2016-09-20 |
| Find all providers in MEMPHIS | ||||
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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.