Individual provider Active NPI

Jeanette Michelle Edmonds, PH.D.

  • Prescribing (Medical) Psychologist
  • Hammond, LA
National Provider Identifier
1356870703
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
349453 Issued in LA
Practice address
42334 Deluxe PLZ Ste 2
Hammond, LA 70403-1237
Phone
(985) 662-5520
NPI assigned
Jun 8, 2017
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1592 LA
Prescribing (Medical) Psychologist 103TP0016X 349453 LA Primary

Addresses

Primary practice location

42334 Deluxe PLZ Ste 2
Hammond, LA 70403-1237

Mailing address

42334 Deluxe PLZ Ste 2
Hammond, LA 70403-1237
Phone (985) 662-5520

Other practice location 1

4231 S. Pipkin Rd.
Building 2 - Mental Health/Behavioral Sciences
Lakeland, FL 33811
Phone (863) 701-2470 ext. 4024

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
349453LAMDPrescribing (Medical) Psychologist
1592LAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Behavioral Health LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1356870703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42334 DELUXE PLZ STE 2",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031237",
            "telephone_number": "985-662-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42334 DELUXE PLZ STE 2",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031237",
            "telephone_number": "985-662-5520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4231 S. Pipkin Rd.",
            "address_2": "Building 2 - Mental Health/Behavioral Sciences",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "33811",
            "country_code": "US",
            "telephone_number": "863-701-2470 x4024",
            "fax_number": "813-629-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "JEANETTE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "LA",
            "license": "1592",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "349453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.