Active NPI
Jeanette Michelle Edmonds, PH.D.
- Prescribing (Medical) Psychologist
- Hammond, LA
National Provider Identifier
1356870703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 349453
- Practice address
- 42334 Deluxe PLZ Ste 2
Hammond, LA 70403-1237 - Phone
- (985) 662-5520
- NPI assigned
- Jun 8, 2017
- Last updated
- Jan 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 349453 | LA | MD | Prescribing (Medical) Psychologist |
| 1592 | LA | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Psychologist
- Hammond, LA
- NPI 1932475266
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.