1. Home
  2. Directory
  3. Connecticut
  4. West Hartford
  5. Psychologist
  6. NPI Profile

DR. MARYAM JERNIGAN PHD
NPI 1508942426
Psychologist - Clinical Child & Adolescent in West Hartford, CT

Active since October 31, 2006
784 FARMINGTON AVE, WEST HARTFORD, CT 06119(860) 523-4450 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Maryam Jernigan Phd NPPES

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

DR. MARYAM JERNIGAN PHD (NPI 1508942426) is an individual clinical child & adolescent provider in West Hartford, Connecticut, licensed in Connecticut (8.003430) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1508942426
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. MARYAM JERNIGANCredential: PHD
Location Address784 FARMINGTON AVEWest Hartford, CT 06119-1619
Mailing Address784 Farmington AveWest Hartford, CT 06119-1619 · (860) 523-4450
Phone(860) 523-4450
Sole ProprietorYes
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 30, 2015
✔ NPI 1508942426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CT · 8.003430
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
784 FARMINGTON AVE, West Hartford, CT 06119
Open in Google Maps ↗

Other Providers at the Same Location NPPES 18

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

CLEMENTINE COUNSELING
Counselor (Professional)
784 FARMINGTON AVE
WEST HARTFORD, CT 06119
Capitol Planning Region (860) 245-9077
MS. CAROL ANN BOZENA MSW LCSW
Social Worker (Clinical)
784 FARMINGTON AVE
WEST HARTFORD, CT 06119
Capitol Planning Region (860) 523-4450
MS. ELIZABETH M TURNER MSW
Social Worker (Clinical)
784 FARMINGTON AVE, WOMEN'S CENTER FOR PSYCHOTHERAPY, LLC
WEST HARTFORD, CT 06119
Capitol Planning Region (860) 523-4450
DR. KATHRYN LYNN HENDERSON PHD, LPC, NCC
Counselor (Professional)
784 FARMINGTON AVE
WEST HARTFORD, CT 06119
Capitol Planning Region (860) 523-4450
MARY ELLEN LADD LCSW
Social Worker (Clinical)
784 FARMINGTON AVE
WEST HARTFORD, CT 06119
Capitol Planning Region (860) 523-4450
RACHEL JEAN ELLIS
Counselor (Mental Health)
784 FARMINGTON AVE
WEST HARTFORD, CT 06119
Capitol Planning Region (860) 523-4450
MRS. ELLEN DIANE THOMAS MSW
Social Worker (Clinical)
784 FARMINGTON AVE
WEST HARTFORD, CT 06119
Capitol Planning Region (860) 523-4450
MISS KATIE ELIZABETH LYNCH LCSW
Social Worker (Clinical)
784 FARMINGTON AVE
WEST HARTFORD, CT 06119
Capitol Planning Region (203) 589-3432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryam Jernigan's NPI number?

The NPI number for Maryam Jernigan is 1508942426. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Maryam Jernigan located?

Maryam Jernigan practices at 784 Farmington Ave, West Hartford, CT 06119. The listed phone number is (860) 523-4450.

What is Maryam Jernigan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Maryam Jernigan was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.