BEHAVIORAL MEDICINE CLINIC,PA


Address: 5000 Hwy 39 N, Meridian, MS 39301-1021
Phone: 6014822400

BEHAVIORAL MEDICINE CLINIC,PA (NPI# 1588846281) 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) 1588846281
Entity Type Organization
Organization Name BEHAVIORAL MEDICINE CLINIC,PA
Practice Address 5000 Hwy 39 N
Meridian
MS 39301-1021
Practice Telephone 6014822400
Mailing Telephone 6014822400
Enumeration Date 2007-12-04
Last Update Date 2010-06-01
Authorized Official Name DR. TERRY JORDAN (OWNER)
Authorized Official Telephone 6014822400
Authorized Official Credential M.M.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP0016X Psychologist
Specialization: Prescribing (Medical)
14095 MS Behavioral Health & Social Service Providers

Office Location

Street Address 5000 HWY 39 N
City MERIDIAN
State MS
Zip Code 39301-1021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942574587 Alliance Health Center Phycians Specialist 5000 Hwy 39 N, Meridian, MS 39301-1021 2012-02-29
1679850150 Alliance Health Center Inc. Psychiatric Hospital 5000 Hwy 39 N, Meridian, MS 39301-1021 2011-11-10
1811156326 Alliance Health Center, Inc. Psychiatric Unit 5000 Hwy 39 N, Meridian, MS 39301-1021 2008-06-09
1366601874 Alliance Health Center Medicare Defined Swing Bed Unit 5000 Hwy 39 N, Meridian, MS 39301-1021 2008-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407460439 Kayla Lee Monsour Pharmacist 1415 24th Avenue, Meridian, MS 39301 2020-09-08
1306478359 K&r Optical Solutions Corporation Eyewear Supplier (Equipment, not the service) 3126 8th St., Suite A, Meridian, MS 39301 2020-02-07
1912537317 Courtney M Hollie Counselor 1054 Ms-19, Meridian, MS 39301 2020-01-24
1932636495 Rcg Mississippi, Inc. Clinic/Center 1300 38th Ave E, Meridian, MS 39301 2017-05-16
1811428915 Tierria Mcglothin Nurse Practitioner 1054 Highway 19 S, Meridian, MS 39301 2017-03-21
1154869303 Lindsay Nemanich Physical Therapist 3716 Ms-39, Meridian, MS 39301 2017-02-08
1700323599 Wal-mart Stores East Lp Pharmacy 3310-a Highway 39 North, Meridian, MS 39301 2017-01-31
1972977460 Southeast Pharmacy LLC Pharmacy 2402 Long Creek Road, Meridian, MS 39301 2015-11-20
1235508342 East Mississippi Oral & Facial Surgery, LLC Clinic/Center 1212 24th Avenue, Meridian, MS 39301 2015-09-18
1831580778 Clarkdale Pharmacy and Gifts LLC Pharmacy 6935c Hwy 145, Meridian, MS 39301 2015-02-13
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Taxonomy Information

Taxonomy Code 103TP0016X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Prescribing (Medical)

Taxonomy Definition

Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447886502 Rico Smith Psychologist 314 E Green St, Macon, MS 39341-2850 2020-03-19
1922374057 Toni L Ladner Psychologist 1600 Broad Ave, Gulfport, MS 39501-3603 2012-03-22
1225303068 Mindful Solution, LLC Psychologist 1 Commerce Dr, Suite 205, Hattiesburg, MS 39402-1499 2012-03-13
1790087393 Jackson Psychiatry Group Psychologist 1855 Lakeland Dr, Suite P121, Jackson, MS 39216-4913 2010-12-02
1629378971 Pmt Clinic Psychologist 1855 Lakeland Dr, Suite P101, Jackson, MS 39216-4913 2010-11-02
1558580662 Beverly Tedford Psychologist 601 Foote St, Corinth, MS 38834-4834 2007-04-25
1386860898 Wellness Clinic, P.C. Psychologist 5740 Getwell Rd, Bldg 4c, Southaven, MS 38672-6346 2007-04-17

Competitor

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City MERIDIAN
Zip Code 39301

Improve Information

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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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