Jill Packman, PHD, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

3332 Somerset Way
Carson City, NV 89705-7203

Phone

(775) 843-4254

Fax

(775) 882-2961

NPI assigned

Sep 27, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1336336924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CONVAIR DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060425",
            "telephone_number": "775-843-4254",
            "fax_number": "775-882-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 SOMERSET WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897057203",
            "telephone_number": "775-843-4254",
            "fax_number": "775-882-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKMAN",
        "first_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "PHD, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511714",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Carson City, NV
• Providers in Carson City, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.