Laura B Jaycox, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2004029371 Issued in MO

Practice address

1307 Avondale Spring Dr
O Fallon, MO 63368-7995

Phone

(636) 795-0738

NPI assigned

Oct 1, 2009

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

Enrolled in MO

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 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susic Psychological Consulting, PCGroup PAC ID 7719952605, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Susic Psychological Consulting, PC

  • Clinical Psychologist
  • Saint Charles, MO
  • NPI 1871769406
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1285968651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 AVONDALE SPRING DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687995",
            "telephone_number": "636-795-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 AVONDALE SPRING DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687995",
            "telephone_number": "636-795-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYCOX",
        "first_name": "LAURA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2004029371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Morgan
• Annette Marie Jansen, LPC
• David Alan Janssen, M.D.
• Qaiser Jawaid, M.D.
• Yasangi Marina Jayasinha, M.D.
• Carl Jenkins
• Krista E Jenkins, PA
• Makaylah N Jenkins
• Mary Monica Jenkins Jenkins
• Monica Jenkins Jenkins

• Psychologist in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.