Jay Arthur Spalding, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1306 Issued in TN

Practice address

1815 McCallie Ave
Chattanooga, TN 37404-3026

Phone

(423) 756-2894

Fax

(423) 756-2899

NPI assigned

Oct 17, 2006

Last updated

Apr 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richmont Graduate University

  dba Henegar Counseling Center

  • Mental Health Counselor
  • Chattanooga, TN
  • NPI 1720137854
  Medicare reassignment NPD
• Geropsych, Inc.

  • Clinical Neuropsychologist
  • Nashville, TN
  • NPI 1821162264
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1609956374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043026",
            "telephone_number": "423-756-2894",
            "fax_number": "423-756-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043026",
            "telephone_number": "423-756-2894",
            "fax_number": "423-756-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALDING",
        "first_name": "JAY",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "1306",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "1035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southside Dental Arts, LLC (Mitchell Baldree, DDS)
• Brittany Sowder, PMHNP
• Richard F Sowell, MD
• Mary Kathryn Spada
• Brian Richard Spalding, PHARM.D
• Stephen Duane Spalding, MD
• John A Spann, DDS
• Keith Brian Sparkman, OD
• Christina Denine Sparks, PHD
• Eddie Lee Sparks

• Counseling Psychologist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Counseling Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.