Jackson County Psychological Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JACKSON COUNTY PSYCHOLOGICAL SERVICES

Doing business as

Haywood County Psychological Services

Practice address

62 Joy LN
Waynesville, NC 28786-2076

Phone

(828) 586-2311

Fax

(828) 586-5450

NPI assigned

May 21, 2010

Last updated

May 21, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

JACKSON COUNTY PSYCHOLOGICAL SERVICESAs reported in NPPES

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

Authorized official

Name

Debbie Douthit

Title

Billing Supervisor

Phone

(828) 586-2311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Haywood County Psychological Services Doing business as

Tax ID family

Jackson County Psychological Services PA4 organizations share this tax ID, including this one

Part of

Jackson County Psychological Services PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Haywood County Psychological Services

  dba Jackson County Psychological Services

  • Psychologist
  • Waynesville, NC
  • NPI 1437465739
  NPD tax ID
• Jackson County Psychological Services

  • Adolescent and Children Mental Health Clinic/Center
  • Sylva, NC
  • NPI 1699088583
  NPD tax ID
• Jackson County Psychological Services

  • Community/Behavioral Health Agency
  • Sylva, NC
  • NPI 1720307895
  NPD tax ID

Locations

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1518286160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790728",
            "telephone_number": "828-586-2311",
            "fax_number": "828-586-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 JOY LN",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287862076",
            "telephone_number": "828-586-2311",
            "fax_number": "828-586-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON COUNTY PSYCHOLOGICAL SERVICES",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "DOUTHIT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "828-586-2311"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300532",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haywood County Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Insight Therapy Group PLLC
• Alexandria Michele Israel, COTA/L
• Mark J Jaben, M.D.
• Jackson Medical Associates, PLLC (Jackson Medical Associates)
• Kurtis Dale James, LCSW, LCAS
• Penny C James, MSW, LCSW, C-CATODSW
• Brooklyn Jamison
• Pamela Sue Jance, RN

• Community/Behavioral Health Agency in Waynesville, NC
• Providers in Waynesville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.