Active NPI
William Harley Jones, PH. D.
- Clinical Psychologist
- Palm Desert, CA
National Provider Identifier
1043435308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 4910
- Practice address
- 45175 Panorama Dr
Suite B
Palm Desert, CA 92260-4482 - Phone
- (760) 346-4665
- Fax
- (760) 776-4073
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 4910 | CA | Primary |
Addresses
Primary practice location
45175 Panorama Dr
Suite B
Palm Desert, CA 92260-4482
Mailing address
45175 Panorama Dr
Suite B
Palm Desert, CA 92260-4482
Phone (760) 346-4665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 953223293 | Other | CA | FEDERAL TAX I.D. NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031104000430 | CA | Practitioner - Clinical Psychologist | 6305758707 | Practice locations: Palm Desert, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 4910 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1043435308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45175 PANORAMA DR",
"address_2": "SUITE B",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604482",
"telephone_number": "760-346-4665",
"fax_number": "760-776-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45175 PANORAMA DR",
"address_2": "SUITE B",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604482",
"telephone_number": "760-346-4665",
"fax_number": "760-776-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "WILLIAM",
"middle_name": "HARLEY",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 4910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX I.D. NUMBER",
"identifier": "953223293",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.