Jefferson Psychological Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY003323 Issued in GA

Legal business name

JEFFERSON PSYCHOLOGICAL SOLUTIONS, LLC

Practice address

3400 Chapel Hill Rd
Suite 212
Douglasville, GA 30135-1739

Phone

(678) 741-5310

Fax

(678) 298-9899

NPI assigned

May 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nina N Jefferson, PSY.D.NPI 1881912137

Title

Licensed Psychologist

Phone

(678) 741-5310

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nina Nicole Jefferson, PSY.D.

  • Clinical Psychologist
  • Monticello, AR
  • NPI 1881912137
  NPD (past) Authorized official

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1447579925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD",
            "address_2": "SUITE 212",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739",
            "telephone_number": "678-741-5310",
            "fax_number": "678-298-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD",
            "address_2": "SUITE 212",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739",
            "telephone_number": "678-741-5310",
            "fax_number": "678-298-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON PSYCHOLOGICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-741-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "PSY003323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ty G James, DMD
• Janet R. Brady
• Christopher Alan Jarrett
• Monique Danielle Jasper
• Jbell Marie Labs LLC
• Jennifer Crumbley PSYD Inc.
• Robin Janice Jennings-Coads, RN,BSN
• Jeremy Meisel MD LLC
• Lolita Christine Jerrell, BSN
• Jerry E Nutt DDS & Assoc of Douglasville

• Community/Behavioral Health Agency in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.