Individual provider Active NPI

Jesse F Dees, PH.D.

  • Clinical Psychologist
  • Jackson, MS
National Provider Identifier
1629286596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
175 Issued in MS
Practice address
1818 Crane Ridge Dr
Suite 101
Jackson, MS 39216-4912
Phone
(601) 981-1008
Fax
(601) 982-9090
NPI assigned
May 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 175 MS Primary

Addresses

Primary practice location

1818 Crane Ridge Dr
Suite 101
Jackson, MS 39216-4912

Mailing address

1818 Crane Ridge Dr
Suite 101
Jackson, MS 39216-4912
Phone (601) 981-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
175MSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Psychological Group PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629286596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 CRANE RIDGE DR",
            "address_2": "SUITE 101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164912",
            "telephone_number": "601-981-1008",
            "fax_number": "601-982-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 CRANE RIDGE DR",
            "address_2": "SUITE 101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164912",
            "telephone_number": "601-981-1008",
            "fax_number": "601-982-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEES",
        "first_name": "JESSE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.