Active NPI
Andrew Jones, PHD
- Clinical Psychologist
- Staunton, VA
National Provider Identifier
1073537957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002658
- Practice address
- 85 Sangers LN
Staunton, VA 24401-6712 - Phone
- (540) 213-7537
- Fax
- (540) 887-3240
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 0810002658 | VA | Primary |
Addresses
Primary practice location
85 Sangers LN
Staunton, VA 24401-6712
Mailing address
85 Sangers LN
Staunton, VA 24401-6712
Phone (540) 213-7537
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440417 | Other | VA | ANTHEM |
| O83902 | Other | VA | SOUTHERN HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002658 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073537957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 SANGERS LN",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244016712",
"telephone_number": "540-213-7537",
"fax_number": "540-887-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SANGERS LN",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244016712",
"telephone_number": "540-213-7537",
"fax_number": "540-887-3240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ANDREW",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "440417",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "O83902",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.