Phoenix Neuropsychology and Counseling Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PHOENIX NEUROPSYCHOLOGY AND COUNSELING CENTER

Practice address

382 Carriage House Dr Ste D
Jackson, TN 38305-2299

Phone

(602) 391-0044

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Chantel Okewole, PSYDNPI 1801453402

Title

Ceo

Phone

(602) 391-0044

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chantel Okewole, PSY.D.

  • Clinical Psychologist
  • Jackson, TN
  • NPI 1801453402

  Clinical Neuropsychologist

  NPD Authorized official

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1891524930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 CARRIAGE HOUSE DR STE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052299",
            "telephone_number": "602-391-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 CARRIAGE HOUSE DR STE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052299",
            "telephone_number": "602-391-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX NEUROPSYCHOLOGY AND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "OKEWOLE",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-391-0044",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Wallace Phillips, PH.D.
• Stephanie Phillips
• Phipps Pharmacy Inc
• Phipps Pharmacy Inc
• Phipps Pharmacy Inc
• Physical Therapy of Jackson PC.
• Physicians Quality Care PLLC
• Dum Livinus Piawa, D.O
• McKenzie Lee Pickard
• David E. Pickering, PH.D.

• Clinical Psychologist in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.