Upa Pllc Ped Psychology
Cognitive & Behavioral - Psychology Clinic
2500 N State St, Jackson
Mississippi, 39216-4500
601-984-5274 Maps & DirectionsUpa Pllc Ped Psychology is a Cognitive & Behavioral - Psychology Clinic in Jackson, Mississippi. It is located at 2500 N State St, Jackson, MS and its contact number is 601-984-5274. The authorized person for Upa Pllc Ped Psychology is Dr. Owen B Evans
who is Manager of the clinic and his/her contact number is 601-984-5214. Other organizations associated with this clinic are Upa Pllc Ped Psychology, University Psychiatric Associates, Llp,
Upa Pllc Ped Psychology Clinic have psychologists who perform variety of professional responsibilities, including assessment (identifying, diagnosing, and conceptualizing problems experienced by individuals or groups), intervention (creating, implementing and evaluating interventions designed to induce positive change) and consultation. Cognitive Behavioral Psychologists also participates in research, education, training, and clinical practice including a range of issues and populations.
Complete Clinic Profile:
Upa Pllc Ped Psychology Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Upa Pllc Ped Psychology |
| Specialization: | Cognitive & Behavioral Psychology |
| Clinic Address: | 2500 N State St, Jackson,
Mississippi, 39216-4500 |
| Phone: | 601-984-5274 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Owen B Evans |
| Position: | Manager |
| Contact Number: | 601-984-5214 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Upa Pllc Ped Psychology clinic are as mentioned below.
| NPI Number: | 1467505222 |
| NPI Enumeration Date: | 18 Jan, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Upa Pllc Ped Psychology | Cognitive & Behavioral Psychology | 1467505222 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Upa Pllc Ped Psychology are as mentioned below.
| Specialization | License Number | State | Status | |
| Cognitive & Behavioral | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 09014561 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Upa Pllc Ped Psychology
2500 N State St,
Jackson, Mississippi |
| Zip: | 39216-4500 |
| Phone Number: | 601-984-5274 |
Patients can reach Upa Pllc Ped Psychology at
2500 N State St, Jackson, Mississippi or can
call to book an appointment on 601-984-5274.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.