Gregory Sansom Jones, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301010832 Issued in MI

Practice address

1300 W Ridge St Ste 2
Marquette, MI 49855-2142

Phone

(906) 228-6200

Fax

(906) 228-6224

NPI assigned

Dec 1, 2005

Last updated

Sep 22, 2022By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Psychological Services, PLLC

  • Clinical Psychologist
  • Marquette, MI
  • NPI 1619109501
  Medicare reassignment Authorized official
• Marquette General Hospital, Inc.

  dba Marquette General Health System

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marquette, MI
  • NPI 1205903051
  NPD (past)
• Marquette General Hospital, Inc.

  dba Behavioral Health Services

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1710941935
  NPD (past)
• Michigan State University Dept of Psychiatry

  • Clinical Psychologist
  • East Lansing, MI
  • NPI 1952337545
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1245214451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W RIDGE ST STE 2",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552142",
            "telephone_number": "906-228-6200",
            "fax_number": "906-228-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W RIDGE ST STE 2",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552142",
            "telephone_number": "906-228-6200",
            "fax_number": "906-228-6224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 W College Ave",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498552705",
            "country_code": "US",
            "telephone_number": "906-225-3985",
            "fax_number": "906-225-4562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "GREGORY",
        "middle_name": "SANSOM",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "MI7253",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DW5644",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00282476",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Johnson, B.S., PTA
• Stephan Johnson
• Stuart K Johnson, DO
• Tanya Johnson, CHW
• Gregory Daniel Jones, MD
• Naima Jones, LLMSW
• Bobby Z Joseph, M.D.
• Jasmine Joseph, MD
• Kaitlyn Marie Joyce, DO
• Joyful Raine Therapy and Holistic Care LLC

• Clinical Psychologist in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.