Active NPI
Georden Jones, PHD.
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1154002137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301019296
- Practice address
- 500 E Washington St Suite 100
Ann Arbor, MI 48104 - Phone
- (734) 615-7853
- Fax
- (734) 764-8128
- NPI assigned
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | 6301019296 | MI | |
| Group Psychotherapy Psychologist | 103TP2701X | 6301019296 | MI | |
| Clinical Psychologist | 103TC0700X | 6301019296 | MI | Primary |
Addresses
Primary practice location
500 E Washington St Suite 100
Ann Arbor, MI 48104
Mailing address
500 E Washington St Suite 100
Ann Arbor, MI 48104
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301019296 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1154002137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E WASHINGTON ST SUITE 100",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E WASHINGTON ST SUITE 100",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48104",
"telephone_number": "734-615-7853",
"fax_number": "734-764-8128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "GEORDEN",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2024-01-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "MI",
"license": "6301019296",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "MI",
"license": "6301019296",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301019296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.