Active NPI
Jefferson and Associates Psychological Services, P.C.
- Clinical Psychologist
- Lynchburg, VA
National Provider Identifier
1124133327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001866
- Legal business name
- JEFFERSON AND ASSOCIATES PSYCHOLOGICAL SERVICES, P.C.
- Practice address
- 3712 Old Forest Rd
Suite 500
Lynchburg, VA 24501-6959 - Phone
- (434) 385-0744
- Fax
- (434) 385-8358
- NPI assigned
- Aug 20, 2006
- 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
- Dr. Terry W. Jefferson, PH.D.
- Title
- Owner/President
- Phone
- (434) 385-0744
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001866 | VA | Primary |
| Clinical Social Worker | 1041C0700X | VA |
Addresses
Primary practice location
3712 Old Forest Rd
Suite 500
Lynchburg, VA 24501-6959
Mailing address
3712 Old Forest Rd
Suite 500
Lynchburg, VA 24501-6959
Phone (434) 385-0744
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Lynchburg, VA
- NPI 1558410720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438300800000",
"number": "1124133327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3712 OLD FOREST RD",
"address_2": "SUITE 500",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245016959",
"telephone_number": "434-385-0744",
"fax_number": "434-385-8358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3712 OLD FOREST RD",
"address_2": "SUITE 500",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245016959",
"telephone_number": "434-385-0744",
"fax_number": "434-385-8358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON AND ASSOCIATES PSYCHOLOGICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2015-07-31",
"status": "A",
"authorized_official_last_name": "JEFFERSON",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "434-385-0744",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001866",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.