Fowler C. Jones, Ed D Limited Liability Company

Primary specialty

PsychologistTaxonomy code 103T00000X

License

000952 Issued in MO

Legal business name

FOWLER C. JONES, ED D LIMITED LIABILITY COMPANY

Practice address

411 Nichols Rd
Suite 217
Kansas City, MO 64112

Phone

(816) 931-9912

Fax

(816) 931-9912

NPI assigned

Dec 30, 2008

Organization subpart

No

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

Authorized official

Name

Fowler C Jones, LLC, EDD

Title

Owner

Phone

(816) 931-9912

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1043456718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "SUITE 217",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64112",
            "telephone_number": "816-931-9912",
            "fax_number": "816-931-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "SUITE 217",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64112",
            "telephone_number": "816-931-9912",
            "fax_number": "816-931-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER C. JONES, ED D LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "JONES, LLC",
        "authorized_official_first_name": "FOWLER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-931-9912",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "000952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496668229",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.