Individual provider Active NPI

Paul Christopher Jones, PHD

  • Clinical Child & Adolescent Psychologist
  • Bryn Mawr, PA
National Provider Identifier
1285962084
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PS018629 Issued in PA
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

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
PS018629PAMDSchool 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.

Verify at the official NPI Registry.