Active NPI
Devonna Kae Jonsson, PSYD
- Psychologist
- Camp Hill, PA
National Provider Identifier
1154548246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS009221L
- Practice address
- 1104 Fernwood Ave Ste 201
Camp Hill, PA 17011-6902 - Phone
- (717) 877-9090
- NPI assigned
- Apr 19, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS009221L | PA | Primary |
Addresses
Primary practice location
1104 Fernwood Ave Ste 201
Camp Hill, PA 17011-6902
Mailing address
PO Box 655
Carlisle, PA 17013-0655
Phone (717) 877-9090
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50053743 | Other | PA | CAPITAL BLUECROSS - INDIV |
| 000789050 | Other | PA | HIGHMARK BLUE SHIELD |
| 50053742 | Other | PA | CAPITAL BLUECROSS - GROUP |
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 |
|---|---|---|---|
| PS009221L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610755200000",
"number": "1154548246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 655",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170130655",
"telephone_number": "717-877-9090",
"fax_number": "717-240-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 FERNWOOD AVE STE 201",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170116902",
"telephone_number": "717-877-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONSSON",
"first_name": "DEVONNA",
"middle_name": "KAE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2021-01-16",
"certification_date": "2021-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS009221L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUECROSS - INDIV",
"identifier": "50053743",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000789050",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUECROSS - GROUP",
"identifier": "50053742",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.