Active NPI
Nancy H. Goldman, LLC
- Clinical Neuropsychologist
- Jackson, MS
National Provider Identifier
1023402047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- R624144
- Legal business name
- NANCY H. GOLDMAN, LLC
- Practice address
- 3000 Old Canton Rd
Suite 465
Jackson, MS 39216-4200 - Phone
- (601) 946-7482
- NPI assigned
- Mar 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nancy H Goldman, PMHCNS,BC
- Title
- Owner/President
- Phone
- (601) 946-7482
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | R624144 | MS | Primary |
Addresses
Primary practice location
3000 Old Canton Rd
Suite 465
Jackson, MS 39216-4200
Mailing address
3000 Old Canton Rd
Suite 465
Jackson, MS 39216-4200
Phone (601) 946-7482
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427414400000",
"number": "1023402047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 OLD CANTON RD",
"address_2": "SUITE 465",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164200",
"telephone_number": "601-946-7482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 OLD CANTON RD",
"address_2": "SUITE 465",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164200",
"telephone_number": "601-946-7482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY H. GOLDMAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-27",
"last_updated": "2015-03-27",
"status": "A",
"authorized_official_last_name": "GOLDMAN",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "601-946-7482",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PMHCNS,BC"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "MS",
"license": "R624144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.