Payne Behavioral Medicine

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

48841 Issued in MS

Legal business name

PAYNE BEHAVIORAL MEDICINE

Practice address

4005 N State St Ste N
Jackson, MS 39206-5755

Phone

(601) 506-8735

Fax

(601) 767-2747

NPI assigned

Jun 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Nanetta Payne, PHDNPI 1598076903

Title

Founder/President

Phone

(601) 506-8735

Specialties & licenses 1

Addresses

Other names 1

• Payne Behavioral Health Doing business as

Practitioners 1

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

• Nanetta S Payne, PH.D.

  • Clinical Psychologist
  • Jackson, MS
  • NPI 1598076903
  NPD (past) Authorized official

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1215375746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 N STATE ST STE N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065755",
            "telephone_number": "601-506-8735",
            "fax_number": "601-767-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 N STATE ST STE N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065755",
            "telephone_number": "601-506-8735",
            "fax_number": "601-767-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNE BEHAVIORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "NANETTA",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "601-506-8735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "48841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payne Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel William Patton, MD
• Paul Rice, MD PLLC
• Rachael Lee Paul-Hus
• Alexander Paxton
• Michael F Payment, M.D.
• Payne Legacy Incorporated
• Byrd Lamar Payne, M.D.
• Eric O Payne, CRNA
• Payne, Inc
• John Payne, MD

• Clinical Psychologist in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.