Active NPI
Paul Christopher Jones, PHD
- Clinical Child & Adolescent Psychologist
- Bryn Mawr, PA
National Provider Identifier
1285962084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PS018629
- Practice address
- 1062 E Lancaster Ave Ste 15B
Bryn Mawr, PA 19010-1565 - Phone
- (484) 212-1361
- NPI assigned
- Dec 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS018629 | PA | Primary |
| School Psychologist | 103TS0200X | PS018629 | PA |
Addresses
Primary practice location
1062 E Lancaster Ave Ste 15B
Bryn Mawr, PA 19010-1565
Mailing address
1062 E Lancaster Ave Ste 15B
Bryn Mawr, PA 19010-1565
Phone (484) 343-0289
Other practice location 1
737 Rugby Rd
Bryn Mawr, PA 19010-3832
Phone (484) 343-0289
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 |
|---|---|---|---|
| PS018629 | PA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1285962084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 E LANCASTER AVE STE 15B",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101565",
"telephone_number": "484-343-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 E LANCASTER AVE STE 15B",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101565",
"telephone_number": "484-212-1361"
}
],
"practiceLocations": [
{
"address_1": "737 Rugby Rd",
"address_purpose": "LOCATION",
"city": "Bryn Mawr",
"state": "PA",
"postal_code": "190103832",
"country_code": "US",
"telephone_number": "484-343-0289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "PAUL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-07",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PA",
"license": "PS018629",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PA",
"license": "PS018629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.