Jennifer C. Bouwkamp-Memmer, PHD, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2008034834 Issued in MO

Legal business name

JENNIFER C. BOUWKAMP-MEMMER, PHD, LLC

Practice address

5209 Mexico Gravel Rd
Columbia, MO 65202-6915

Phone

(573) 356-5045

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer C. Bouwkamp-Memmer, PHD

Title

Sole Member/Licensed Psychologist

Phone

(573) 356-5045

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1093041683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 MEXICO GRAVEL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652026915",
            "telephone_number": "573-356-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 MEXICO GRAVEL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652026915",
            "telephone_number": "573-356-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER C. BOUWKAMP-MEMMER, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "BOUWKAMP-MEMMER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SOLE MEMBER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "573-356-5045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2008034834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Ann Jenkins
• Christy Leeann Jenkins, LPN
• Samantha Marie Jenkins, RRT, RRT-ACCS
• Tyler James Jenkins, M.D.
• Jennah Strathausen LLC
• Jennifer Stevenson Isl
• Jennings Eye Associates, P.C.
• Brady Alan Jennings
• Cassidy Jennings, PHARMD
• David Michael Jennings Jr., O.D.

• Psychologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.