TED BENNETT


Address: 1500 E Woodrow Wilson Ave, Office A370, Jackson, MS 39216-5116
Phone: 6013624471

TED BENNETT (NPI# 1891919213) 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) 1891919213
Entity Type Individual
Full Name TED BENNETT
Credential PH.D.
Practice Address 1500 E Woodrow Wilson Ave
Office A370
Jackson
MS 39216-5116
Mailing Address 437 Mockingbird Cir
Brandon
MS 39047-7337
Practice Telephone 6013624471
Mailing Telephone 6019193399
Enumeration Date 2007-04-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 46753 MS Behavioral Health & Social Service Providers

Office Location

Street Address 1500 E WOODROW WILSON AVE
OFFICE A370
City JACKSON
State MS
Zip Code 39216-5116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740264035 Sadeka Tamanna Internal Medicine 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2005-12-01
1881291383 Regina Marie Riley Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-10-07
1811502024 Wendy Hopkins Registered Nurse 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-09-14
1528679420 Christopher Michael Mcguffey Physical Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-08-13
1124637319 Kathryn Martin Lewis Registered Nurse 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-24
1932727468 Davis Mckenna Simms Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-10
1154948222 Tiffany Floyd Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-06
1962029389 Devonda Y Elliott Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-01
1629693759 Latorya Lashay Smith Dietitian, Registered 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-06-15
1932721669 Aubrey Cain Young Pharmacist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-05-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073093894 Virginia Catherine Persinger Clinical Neuropsychologist 1350 E Woodrow Ave, Jackson, MS 39216-5112 2018-08-21
1780963793 Joy Humphreys Clark Clinical Neuropsychologist 1350 E. Woodrow Wilson, Jackson, MS 39216-5112 2011-08-08
1083931323 Eunja Park Talbot Clinical Neuropsychologist 23 Hardwood Dr, Jackson, NJ 08527-5349 2010-04-27
1740325786 John S Hand Phd PC & Associates Clinical Neuropsychologist 1200 N West Ave Ste 812, Jackson, MI 49202-2180 2007-02-20
1740361880 Wendy Elaine Laakmann Clinical Neuropsychologist 460 South Cache Street, Jackson, WY 83001 2006-10-17
1023402047 Nancy H. Goldman, LLC Clinical Neuropsychologist 3000 Old Canton Rd, Suite 465, Jackson, MS 39216-4200 2015-03-27
1942359096 Clea C Evans Clinical Neuropsychologist 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 2007-01-09
1053327759 Robert D Annett Clinical Neuropsychologist 2500 N State St, Jackson, MS 39216-4500 2006-08-01
1770599110 University Neurology Group, Pllc Clinical Neuropsychologist 2500 North State Street, Jackson, MS 39216 2006-07-31
1689689010 Edward Manning Clinical Neuropsychologist 2500 North State Street, Dept of Neurology, Jackson, MS 39216 2006-07-31
Find all providers in JACKSON

Competitor

Search similar providers

City JACKSON
Zip Code 39216

Improve Information

Please comment or provide details below to improve the information on TED BENNETT.

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.

Trending Searches