Individual provider Active NPI

Tracey Jones, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1043361355
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD064120L Issued in PA
Practice address
1511 Carpenter St
Philadelphia, PA 19146-2110
Phone
(215) 923-2690
Fax
(215) 923-8940
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.143395 OH
Psychiatry Physician 2084P0800X 69272 CT
Psychiatry Physician 2084P0800X D0092987 MD
Psychiatry Physician 2084P0800X 313604 NY
Psychiatry Physician 2084P0800X 25MA11201400 NJ
Psychiatry Physician 2084P0800X C1-0024447 DE
Psychiatry Physician 2084P0800X MD064120L PA Primary

Addresses

Primary practice location

1511 Carpenter St
Philadelphia, PA 19146-2110

Mailing address

1511 Carpenter St
Philadelphia, PA 19146-2110
Phone (215) 923-2690

Other practice location 1

351 W Schuylkill Rd Ste G-15A
Pottstown, PA 19465-7438
Phone (610) 326-9460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110330000688 PA Practitioner - Psychiatry 7416130372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1511 Carpenter St
Philadelphia, PA 19146-2110
Phone (215) 923-2690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69272CTMDPsychiatry Physician
C1-0024447DEMDPsychiatry Physician
D0092987MDMDPsychiatry Physician
25MA11201400NJMDPsychiatry Physician
313604NYMDPsychiatry Physician
35.143395OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health and Dental Care, Inc CurrentSince Jan 4, 2025 Accepting new patients
Community Health and Dental Care, Inc CurrentSince Jan 4, 2025 Accepting new patients
Tracey Jones, M.D., P.C. Psychiatry CurrentSince Feb 11, 2012 Accepting new patients
Cedarview Health LLC Psychiatry PastSince Jul 2, 2025 Accepting new patients
Greater Philadelphia Asian Social Service Center Past Accepting new patients

Locations

700 Heritage Dr
Ste 701
Pottstown, PA 19464
Phone 6103269460193

351 W Schuylkill Rd
Ste G15A
Pottstown, PA 19465
Phone (484) 948-3097

Interoperability endpoints

  • Direct secure messaging: tracey.jones.1@22469.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1043361355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 CARPENTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462110",
            "telephone_number": "215-923-2690",
            "fax_number": "215-923-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 CARPENTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462110",
            "telephone_number": "215-923-2690",
            "fax_number": "215-923-8940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 W Schuylkill Rd Ste G-15A",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194657438",
            "country_code": "US",
            "telephone_number": "610-326-9460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TRACEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.143395",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "69272",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0092987",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "313604",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11201400",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0024447",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD064120L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.