Penny Brooke Jameson, PH. D., P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

277000-2501 Issued in UT

Legal business name

PENNY BROOKE JAMESON, PH. D., P.C.

Practice address

1801 S 2600 E
Salt Lake City, UT 84108-3331

Phone

(801) 350-0118

NPI assigned

Aug 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Penny Brooke Jameson, PH.D. PSYCHOLOGY

Title

President

Phone

(801) 350-0118

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1982038238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 2600 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841083331",
            "telephone_number": "801-350-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 2600 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841083331",
            "telephone_number": "801-350-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY BROOKE JAMESON, PH. D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMESON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-350-0118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. PSYCHOLOGY"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "277000-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychologist in Utah

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