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JMJ PSYCHOLOGICAL SERVICES LLC NPI 1245507821


NPI Information

NPI: 1245507821
Provider Name: JMJ PSYCHOLOGICAL SERVICES, LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
412 N 4TH ST STE 100
BATON ROUGE, LA
ZIP 70802
Phone: (225) 719-1988
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JMJ PSYCHOLOGICAL SERVICES, LLC is a prescribing (medical) psychologist in Baton Rouge, LA. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. JMJ PSYCHOLOGICAL SERVICES, LLC NPI is 1245507821. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

412 N 4TH ST STE 100
BATON ROUGE, LA
ZIP 70802-523
Phone: (225) 719-1988
Fax: (888) 719-5854

The provider's authorized official is Maxine Elizabeth Campbell .
The authorized official title is Owner and has the following contact phone number (225) 719-1988.

The enumeration date for this NPI number is 11/26/2011 and was last updated on 12/12/2022.


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
1103TA0400XPsychologistAddiction (Substance Use Disorder)No
2103TB0200XPsychologistCognitive & BehavioralNo
3103TC0700XPsychologistClinical773LOUISIANANo
4103TC1900XPsychologistCounselingNo
5103TP0016XPsychologistPrescribing (Medical)Yes

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
11563439MEDICAIDLOUISIANA

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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