CYNTHIA LUFKIN UNDESSER


Address: 402 Wesley Ave, Jackson, MS 39202-1000
Phone: 6013600583

CYNTHIA LUFKIN UNDESSER (NPI# 1841337656) 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) 1841337656
Entity Type Individual
Full Name CYNTHIA LUFKIN UNDESSER
Credential M.D.
Practice Address 402 Wesley Ave
Jackson
MS 39202-1000
Practice Telephone 6013600583
Practice Fax Number 6013600585
Mailing Telephone 6013600583
Mailing Fax Number 6013600585
Enumeration Date 2007-01-31
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
11891 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICAL LICENSURE G5719 01
MS 00117736 05

Office Location

Street Address 402 WESLEY AVE
City JACKSON
State MS
Zip Code 39202-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639382690 Cares Center Inc Psychiatric Residential Treatment Facility 402 Wesley Ave, Jackson, MS 39202 2007-05-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144512674 Magalie Saint-lot Jacques Psychiatry & Neurology 31 Bridgewater Ct, Jackson, NJ 08527-4030 2011-05-03
1992047682 Nils Charles Westfall Psychiatry & Neurology 555 E Broadway Ave Ste 204, Jackson, WY 83001-8640 2013-03-21
1922372697 Integrated Family Services, Pllc Psychiatry & Neurology 9486 Nc Hwy 305, Jackson, NC 27845-9679 2012-02-28
1548357643 Scott Rodgers Psychiatry & Neurology 2500 N State St, Jackson, MS 39216-4500 2006-10-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649466954 Nazmul Talukdar Psychiatry & Neurology 110 Patton Ave, Hattiesburg, MS 39401-6155 2007-09-20
1932321742 Otis Anderson IIi Psychiatry & Neurology 5185 Getwell Rd, Southaven, MS 38671-9691 2007-05-02
1770609364 Gerri L Hill Chance Psychiatry & Neurology 206 Robert Mcdaniel Drive, Hazelhurst, MS 39083 2007-03-22
1932290392 Millcreek Epsdt Psychiatry & Neurology 900 First Ave., N.e., Magee, MS 39111 2006-09-28
1639620560 North Plantation Psychiatry & Neurology 1613 23rd Avenue, Gulfport, MS 39501 2016-10-15
1023363173 Kelechi Nnamdi Emereonye Psychiatry & Neurology 4100 Mamie St, Hattiesburg, MS 39402-1735 2012-07-16
1710175260 Clinical Neuroscience Group, Pllc Psychiatry & Neurology 3531 Lakeland Dr, Suite 1058, Flowood, MS 39232-8049 2007-10-10
1992906598 Maecenas Inc Psychiatry & Neurology 206 Robert Mcdaniel Drive, Hazlehurst, MS 39083-0146 2007-05-30
1154477453 Anthony Wade Jackson Sr. Psychiatry & Neurology 152 Highway 7 S, Oxford, MS 38655-5392 2007-01-27
1073684940 Timothy Summers Psychiatry & Neurology 1818 College Drive, Meridian, MS 39307-5429 2006-11-13
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Competitor

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City JACKSON
Zip Code 39202

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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