M2JC Psychological Services PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

M2JC PSYCHOLOGICAL SERVICES PLLC

Practice address

8103 Purple Aster Pass
Lago Vista, TX 78645-2294

Phone

(210) 844-7028

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Farjellah, PHDNPI 1447400478

Title

Clinical Psychologist

Phone

(210) 844-7028

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael David Farjellah, PHD

  • Clinical Psychologist
  • Lago Vista, TX
  • NPI 1447400478
  NPD Authorized official

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1124847959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 PURPLE ASTER PASS",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786452294",
            "telephone_number": "210-844-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8103 PURPLE ASTER PASS",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786452294",
            "telephone_number": "210-844-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M2JC PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "FARJELLAH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "210-844-7028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Lanning
• Loren Elizabeth Lee, MD
• Elizabeth Renee Long, LMT
• Heather Long, RPH
• Jaren Renae Lynch, RN
• Linda McCook, RD, LD
• Margareth Ann McCreary, LCSW
• J E Mendez, MD
• Mary Denise Minyard
• Natnpcares LLC

• Adult Mental Health Clinic/Center in Lago Vista, TX
• Providers in Lago Vista, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.