NPIMap

Organization Active NPI

Jessup, Inc

  • Behavior Analyst
  • Orange City, FL
National Provider Identifier
1922518489
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
JESSUP, INC
Practice address
1642 N Volusia Ave Ste 201
Orange City, FL 32763-3850
Phone
(386) 628-0295
Fax
(386) 243-4581
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Jamison Jessup
Title
President / Owner
Phone
(386) 801-7882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1642 N Volusia Ave Ste 201
Orange City, FL 32763-3850

Mailing address

1642 N Volusia Ave Ste 201
Orange City, FL 32763-3850
Phone (386) 628-0295

National Provider Directory

National Provider Directory

Locations

1642 N Volusia Ave
Ste 201
Orange City, FL 32763
Phone (386) 628-0295

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1922518489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 N VOLUSIA AVE STE 201",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327633850",
            "telephone_number": "386-628-0295",
            "fax_number": "386-243-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 N VOLUSIA AVE STE 201",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327633850",
            "telephone_number": "386-628-0295",
            "fax_number": "386-243-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "JESSUP",
        "authorized_official_first_name": "JAMISON",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "386-801-7882"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.