Individual provider Active NPI

Jason (Jake) Epker, PHD

  • Clinical Psychologist
  • Mobile, AL
National Provider Identifier
1184775736
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1107 Issued in AL
Practice address
2450A Old Shell Rd
Mobile, AL 36607-3020
Phone
(251) 478-3044
Fax
(251) 476-9055
NPI assigned
Jan 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1107 AL Primary

Addresses

Primary practice location

2450A Old Shell Rd
Mobile, AL 36607-3020

Mailing address

2450A Old Shell Rd
Mobile, AL 36607-3020
Phone (251) 478-3044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040503001545 AL Practitioner - Clinical Psychologist 3072501683 Reassigns benefits to 1 organization
I20100803001105 MS Practitioner - Clinical Psychologist 3072501683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ogden and Epker LLCGroup PAC ID 4284651027, 2 clinicians

Practice addresses (Care Compare)

2450 -A Old Shell Rd
Mobile, AL 36607-3020

2450 Old Shell Rd
Mobile, AL 36607-3020
Phone (251) 478-3044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1107ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden and Epker, LLC Clinical CurrentSince Jul 18, 2003 Accepting new patients
Ford Psychiatry Past Accepting new patients
Winds of Change Psychological Services of Mobile Clinical Past Accepting new patients

Locations

2450 Old Shell Rd
Mobile, AL 36607
Phone (251) 476-9011

2450 Old Shell Rd
#A
Mobile, AL 36607
Phone (251) 476-9011

2450A Old Shell Rd
Mobile, AL 36607
Phone (251) 476-9011

2901 N I 10 Service Rd E
Ste 300
Metairie, LA 70002
Phone (540) 780-1702

4105 Hospital St
Ste 112
Pascagoula, MS 39581
Phone (251) 478-3044

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184775736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450A OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073020",
            "telephone_number": "251-478-3044",
            "fax_number": "251-476-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450A OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073020",
            "telephone_number": "251-478-3044",
            "fax_number": "251-476-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPKER",
        "first_name": "JASON (JAKE)",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.