Jaimie Lunsford

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5717 Issued in NC

Practice address

430 Battleground Ave
Greensboro, NC 27401-2104

Phone

(336) 933-0938

NPI assigned

Dec 7, 2022

Last updated

Jul 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mind and Mood Psychological Services PLLC

  • Clinical Psychologist
  • Greensboro, NC
  • NPI 1013628312
  NPD Authorized official

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1215648613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715D GRANDVIEW AVE # 117",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BATTLEGROUND AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012104",
            "telephone_number": "336-933-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNSFORD",
        "first_name": "JAIMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Hall Lund, RPH
• Kristine Lundgren, SC.D.
• Albert Lee Lundquist, PHYSICIAN ASSISTANT
• Margaret Lundsgarrd
• Evangeline Anne Lunn
• Frederick Arthur Lupton III, MD
• Lurey Psychological Assoc
• Edward Lurey, PHD
• Luroos Inc
• Neil D. Lutins, D.D.S.

• Clinical Psychologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.