Active NPI
Jeffrey S Lawley, PH.D.
- Psychologist
- Biloxi, MS
National Provider Identifier
1629361399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 62-1140
- Practice address
- 400 Veterans Ave BLDG 25
Biloxi, MS 39531-2410 - Phone
- (228) 523-4314
- NPI assigned
- May 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 62-1140 | MS | Primary |
Addresses
Primary practice location
400 Veterans Ave BLDG 25
Biloxi, MS 39531-2410
Mailing address
1005 Harbor CV
Ocean Springs, MS 39564-8504
Phone (318) 453-6159
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62-1140 | MS | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689984000000",
"number": "1629361399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 HARBOR CV",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395648504",
"telephone_number": "318-453-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 VETERANS AVE BLDG 25",
"city": "BILOXI",
"state": "MS",
"postal_code": "395312410",
"telephone_number": "228-523-4314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLEY",
"first_name": "JEFFREY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-27",
"last_updated": "2023-07-22",
"certification_date": "2023-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MS",
"license": "62-1140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.