Tammy S Juntunen, M.A., LPA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2348 Issued in NC

Practice address

104 Market St
Henderson, NC 27537-3751

Phone

(252) 431-4418

Fax

(252) 572-2418

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapeutic Specialties of North Carolina, PLLC

  • Community/Behavioral Health Agency
  • Henderson, NC
  • NPI 1720381395

  Psychologist

  NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1598865883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MARKET ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275373751",
            "telephone_number": "919-702-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MARKET ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275373751",
            "telephone_number": "252-431-4418",
            "fax_number": "252-572-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNTUNEN",
        "first_name": "TAMMY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6707074",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harvey Michael Jones, M.D.
• Kimberly Simpson Jones, PHARMD
• Talia Jones, LCSW-A
• Wendy Jordan, LCSWA
• Regina N Judge, CRPNP
• Jyotimallika, D.M.D., P.L.L.C.
• Nirmala Purushotham Kamath, RPH
• Snigdha Kanakamedala, MD
• Hannah Kanthak, OTR/L
• Crystal Young Kaplan, ARNP

• Psychologist in Henderson, NC
• Providers in Henderson, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.