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JACKSON NEUROSCIENCE CENTER NPI 1417314865


NPI Information

NPI: 1417314865
Provider Name: JACKSON NEUROSCIENCE CENTER
Classification: Psychoanalyst - 102L00000X
Entity Type: Organization
Address:
207 W JACKSON ST
SUITE 1
RIDGELAND, MS
ZIP 39157
Phone: (601) 992-5943
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JACKSON NEUROSCIENCE CENTER is a psychoanalyst in Ridgeland, MS. The provider is psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation. JACKSON NEUROSCIENCE CENTER NPI is 1417314865. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

207 W JACKSON ST
SUITE 1
RIDGELAND, MS
ZIP 39157-355
Phone: (601) 992-5943
Fax: (601) 992-9152

The provider's authorized official is Ron Milone .
The authorized official title is Mgr and has the following contact phone number (601) 992-5943.

The enumeration date for this NPI number is 1/15/2016 and was last updated on 1/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1102L00000XPsychoanalyst16393MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G50211OTHERMISSISSIPPIUPIN
200118254MEDICAIDMISSISSIPPI
3302I265901MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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