Active NPI
Joanna Alicja Jablonski, PSY.D.
- Clinical Psychologist
- Phoenix, AZ
National Provider Identifier
1144546003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4069
- Practice address
- 4047 N 40TH PL
Phoenix, AZ 85018-5206 - Phone
- (602) 763-2160
- NPI assigned
- Apr 15, 2010
- Sex
- Female
- 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 | 4069 | AZ | Primary |
Addresses
Primary practice location
4047 N 40TH PL
Phoenix, AZ 85018-5206
Mailing address
4047 N 40TH PL
Phoenix, AZ 85018-5206
Phone (602) 763-2160
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4069 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1144546003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4047 N 40TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850185206",
"telephone_number": "602-763-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4047 N 40TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850185206",
"telephone_number": "602-763-2160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLONSKI",
"first_name": "JOANNA",
"middle_name": "ALICJA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-15",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.