Child and Family Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042096A Issued in IN

Legal business name

CHILD AND FAMILY PSYCHOLOGICAL SERVICES, LLC

Practice address

424 Washington St Ste 7
Columbus, IN 47201-6790

Phone

(812) 374-2282

NPI assigned

Jan 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Alyce Bryant Bissey, PSYD

Title

Clinical Psychologist

Phone

(812) 374-2282

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358035200000",
    "number": "1679810444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WASHINGTON ST STE 7",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016790",
            "telephone_number": "812-374-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 WASHINGTON ST STE 7",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016790",
            "telephone_number": "812-374-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-13",
        "last_updated": "2013-01-13",
        "status": "A",
        "authorized_official_last_name": "BISSEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ALYCE BRYANT",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "812-374-2282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002087A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042096A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Chasteen, PT, DPT
• Win Chein, DDS, MPH
• Robert Aaron Chestnut, MD, MOH
• Jayant Manilal Chheda
• Child & Youth Development Center, P.S.C.
• Ethan K Childers, DPT
• Children Inc
• Kiran Kumar Chintam, MD
• Ashlee Chodan
• Bryan Choi

• All providers in Columbus, IN
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.