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

Dr. John E Fontaine IV, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1093818064

Dr. John E Fontaine IV, PHD is a Clinical Child & Adolescent Psychologist in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1855 Crane Ridge Dr Ste A
Jackson, MS 39216-4944
Phone: (601) 982-8700
Fax: (601) 366-3906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 30429 (MS)

Record details

NPI number1093818064
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 6, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1855 Crane Ridge Dr Ste A, Jackson, MS 39216-4944

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