Clemson Behavioral Health PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CLEMSON BEHAVIORAL HEALTH PA

Practice address

398 College Ave
Clemson, SC 29631-1432

Phone

(864) 653-4112

Fax

(864) 653-4129

NPI assigned

Apr 9, 2007

Last updated

Jan 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline D Mouzon, M.D.

Title

Psychiatrist

Phone

(864) 653-4112

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1467575936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 COLLEGE AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311432",
            "telephone_number": "864-653-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 COLLEGE AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311432",
            "telephone_number": "864-653-4112",
            "fax_number": "864-653-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON BEHAVIORAL HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "MOUZON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "864-653-4112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3804",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Cheek, N.P.
• Nina Mitchum Chitty, PT
• Curtis Brian Chivers, RPH
• Emily Christmas
• Clemson Apothecare
• Clemson Counseling Associates LLC
• Clemson Counseling Center Inc
• Clemson Counseling Center, Inc.
• Clemson Counseling Group, LLC
• Clemson Dental Associates, PA

• Psychiatry Physician in Clemson, SC
• Providers in Clemson, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.