UPA PLLC PED PSYCHOLOGY
NPI 1467505222
Psychologist - Cognitive & Behavioral in Jackson, MS

Q: What is Upa PLLC Ped Psychology's NPI number?

The NPI number for Upa PLLC Ped Psychology is 1467505222. It was assigned to this organization in the NPPES registry on January 18, 2007.

Q: What is Upa PLLC Ped Psychology's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Active since January 18, 2007

2500 N STATE ST, JACKSON, MS 39216(601) 984-5274 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Upa Pllc Ped Psychology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPA PLLC PED PSYCHOLOGY (NPI 1467505222) is a healthcare organization registered as a cognitive & behavioral in Jackson, Mississippi and active in the NPI registry since January 2007. The organization lists Owen B Evans, Manager, as its authorized official.

NPPES Registry Identity

NPI1467505222

Entity TypeOrganization

Primary Taxonomy103TB0200X

Legal Business NameUPA PLLC PED PSYCHOLOGY

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5274

Phone(601) 984-5274

Organization SubpartNo

Authorized OfficialOwen B EvansManager · (601) 984-5214

Enumeration DateJanuary 18, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1467505222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 1

Medicaid09014561MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)