Paula Joan Jean, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

08100001202 Issued in VA

Practice address

1441 Village Pond LN Apt 1406
Richmond, VA 23227-3496

Phone

(804) 318-5211

Fax

(804) 369-9709

NPI assigned

Feb 8, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1083687412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 VILLAGE POND LN APT 1406",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273496",
            "telephone_number": "804-318-5211",
            "fax_number": "804-369-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 VILLAGE POND LN APT 1406",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273496",
            "telephone_number": "804-318-5211",
            "fax_number": "804-369-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "PAULA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "08100001202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007702949",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JDL Healthcare Services, Inc Dba Amada Senior Care Richmond West
• JDM of VA LLC
• JDM of Virginia LLC (Adult Day Services of South Richmond)
• Tessa Jean-Baptiste, RPH
• Darlene Wanick Jean, DMD
• Gregory Edmund Jeansonne, M.D.
• Princess Jeffers, CNC
• Sheena Christin Jeffers
• Karen W. Jefferson, M.D.
• Michael F Jefferson, M.D.

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.