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Kendall Jasper, PHD
Community/Behavioral Health Agency in Charlotte, North Carolina
NPI 1720106743

Kendall Jasper is a Community/Behavioral Health Agency based in Charlotte, NC. Kendall Jasper practices in Charlotte, NC and has the professional credentials of PHD. The NPI Number for Kendall Jasper is 1720106743 and holds a License No. 4088 (North Carolina).

The current practice location address for Kendall Jasper is 223 W Morehead St, Charlotte, NC and can be reached out via phone at 980-819-5692 and via fax at 980-819-5694.

Location: 223 W Morehead St, Charlotte, NC, 28202-1521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720106743
Provider Name
Kendall Jasper
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
223 W Morehead St, Charlotte, NC, 28202-1521
Phone Number
980-819-5692
Fax Number
980-819-5694
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6107205 05 NC
institution
Provider Business Practice Location Address Details
Address
223 W Morehead St
City
Charlotte
State
North Carolina
Zip
28202-1521
Phone Number
980-819-5692
Fax Number
980-819-5694
person
Provider Business Mailing Address Details
Address
223 W Morehead St
City
Charlotte
State
North Carolina
Zip
28202-1521
Phone Number
980-819-5692
Fax Number
980-819-5694
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
103TB0200X
License No.
4088 (North Carolina)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
4088 (North Carolina)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
103TC2200X
License No.
4088 (North Carolina)
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.
person
Provider's Taxonomy Details 4
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
4088 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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