Keenan Jones

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT28326 Issued in CA

Practice address

300 E 15TH St
Merced, CA 95341-6217

Phone

(209) 381-6800

NPI assigned

Dec 26, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1194297549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953440087",
            "telephone_number": "209-381-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 15TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416217",
            "telephone_number": "209-381-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Scenic Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953506131",
            "country_code": "US",
            "telephone_number": "209-525-6146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KEENAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-26",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT28326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Scott Johnston, M.D.
• Ashly Jojola
• Ana Luisa Jones
• Jennifer Marie Jones, PSYD
• Jonathan Adrian Jones
• Keirah Alyce-Nevaeh Jones
• Kimberlee A Jones
• Laren Renee Jones, MSW ASW
• Ryan Matthew Jones, D.C.
• Sharon Ann Jones, LMFT

• Licensed Psychiatric Technician in Merced, CA
• Providers in Merced, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.