M Hope Jackson PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1369 Issued in AL

Legal business name

M HOPE JACKSON PHD LLC

Practice address

2864 Dauphin St
Suite a
Mobile, AL 36606-2479

Phone

(251) 470-7607

Fax

(251) 470-7609

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Melanie Hope Jackson, PHD

Title

Clinical Psychologist

Phone

(251) 470-7607

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1669647913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 DAUPHIN ST",
            "address_2": "SUITE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062479",
            "telephone_number": "251-470-7607",
            "fax_number": "251-470-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 DAUPHIN ST",
            "address_2": "SUITE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062479",
            "telephone_number": "251-470-7607",
            "fax_number": "251-470-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M HOPE JACKSON PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "251-470-7607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1619953726",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Richard Mighell Lyon, PT, DPT
• Lewis Clinton Lyons III, M.D.
• Michael Biven Lyons, M.D.
• Michael Claude Lysek Jr., M.D.
• M and J Horn Inc
• Peter Ma
• Karam Maatouk
• Jacqueline Marie Macdonald, PT
• Charlotte Steelman Macdonell, MD
• Kyle Matthew Mace, PA-S

• Clinical Psychologist in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.