Provider Demographics
NPI:1275633299
Name:BELLANDO, JAYNE (PHD)
Entity type:Individual
Prefix:
First Name:JAYNE
Middle Name:
Last Name:BELLANDO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BETTY
Other - Middle Name:JAYNE
Other - Last Name:BELLANDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 CHILDRENS WAY # 653
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-3500
Mailing Address - Country:US
Mailing Address - Phone:501-364-1100
Mailing Address - Fax:501-364-4082
Practice Address - Street 1:1301 WOLFE ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-5320
Practice Address - Country:US
Practice Address - Phone:501-372-2768
Practice Address - Fax:501-978-6492
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR06-12P103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR06070015000OtherQUALCHOICE
AR0612POtherTRICARE
ARP00406675OtherRAILROAD MEDICARE
AR162861719Medicaid