Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacqueline Countryman, MD

Individual provider Psychiatry Physician · NPI 1396802096

Dr. Jacqueline Countryman, MD is a Psychiatry in Dayton, Ohio. Graduated from Albany Medical College of Union University in 1996, 30 years ago. Practices with Psychological and Behavioral Consultants LLC, a 577-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
30
Trained at
Albany Medical College of Union University
Licensed in
OH
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

601 S Edwin C Moses Blvd E Bldg 4TH Fl
Dayton, OH 45408-1424
Phone: (937) 276-8333

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Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 35-07-3384-C (OH)

Record details

NPI number1396802096
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1996 (30 years in practice)
Group practice Psychological And Behavioral Consultants Llc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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