Active NPI
Joseph Jones
- Community/Behavioral Health Agency
- Maple Heights, OH
National Provider Identifier
1114642766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 14805 Brunswick Ave
Maple Heights, OH 44137-3819 - Phone
- (216) 532-4419
- NPI assigned
- Oct 6, 2022
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
14805 Brunswick Ave
Maple Heights, OH 44137-3819
Mailing address
14805 Brunswick Ave
Maple Heights, OH 44137-3819
Phone (216) 532-4419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UB660236 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://mail.google.com/mail/u/0/#inbox | Direct |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1114642766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14805 BRUNSWICK AVE",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441373819",
"telephone_number": "216-532-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14805 BRUNSWICK AVE",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441373819",
"telephone_number": "216-532-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "UB660236",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://mail.google.com/mail/u/0/#inbox",
"affiliation": "N",
"endpointDescription": "Gmail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "14805 Brunswick Ave",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441373819",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maple Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.