Active NPI
Orlando James Jennings
- School Psychologist
- Gary, IN
National Provider Identifier
1255104816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 742126
- Practice address
- 3424 Pennsylvania St
Gary, IN 46409-1029 - Phone
- (678) 334-9067
- NPI assigned
- Nov 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 742126 | GA | Primary |
Addresses
Primary practice location
3424 Pennsylvania St
Gary, IN 46409-1029
Mailing address
PO Box 641101
Gary, IN 46401-1101
Phone (678) 334-9067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 742126 | GA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1255104816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 641101",
"city": "GARY",
"state": "IN",
"postal_code": "464011101",
"telephone_number": "678-334-9067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3424 PENNSYLVANIA ST",
"city": "GARY",
"state": "IN",
"postal_code": "464091029",
"telephone_number": "678-334-9067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "ORLANDO",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "GA",
"license": "742126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.