Individual provider Active NPI

Jessica Arean Pliego, PHD

  • Clinical Neuropsychologist
  • Memphis, TN
National Provider Identifier
1992287213
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PENDING Issued in TN
Practice address
848 Adams Ave.
Ste. L400
Memphis, TN 38103
Phone
(901) 287-7337
Fax
(901) 287-4540
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PENDING TN Primary

Addresses

Primary practice location

848 Adams Ave.
Ste. L400
Memphis, TN 38103

Mailing address

850 Poplar Ave.
BLDG. 2
Memphis, TN 38105
Phone (901) 287-5674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190530003132 TN Practitioner - Clinical Psychologist 0648503953 Reassigns benefits to 1 organization
I20200916000955 TX Practitioner - Clinical Psychologist 0648503953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3580TNMDMental Health Counselor
PENDINGTNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group CurrentSince Aug 17, 2020 Accepting new patients
Dell Children'S Medical Group CurrentSince Aug 17, 2020 Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1600 W 38th St
Ste 320
Austin, TX 78731
Phone (512) 324-3560

Interoperability endpoints

  • Direct secure messaging: jessica.pliego.1@8363.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1992287213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 POPLAR AVE.",
            "address_2": "BLDG. 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38105",
            "telephone_number": "901-287-5674",
            "fax_number": "901-287-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ADAMS AVE.",
            "address_2": "STE. L400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38103",
            "telephone_number": "901-287-7337",
            "fax_number": "901-287-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLIEGO",
        "first_name": "JESSICA",
        "middle_name": "AREAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TN",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.