Individual provider Active NPI

Torri Miller Jones, PHD

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1295038412
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017550 Issued in PA
Practice address
3615 Civic Center Blvd BLDG 1428
Philadelphia, PA 19104-4318
Phone
(267) 425-1986
NPI assigned
Dec 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY23972 CA
Psychologist 103T00000X PS017550 PA Primary

Addresses

Primary practice location

3615 Civic Center Blvd BLDG 1428
Philadelphia, PA 19104-4318

Mailing address

3615 Civic Center Blvd BLDG 1428
Philadelphia, PA 19104-4318
Phone (267) 425-1986

Other practice location 1

777 Campus Commons Rd
Suite 200
Sacramento, CA 95825-8309
Phone (916) 563-7107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20260603002991 PA Practitioner - Clinical Psychologist 2365692936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Michigan State University College of Human Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 Civic Ctr Blvd
Philadelphia, PA 19104-4395
Phone (215) 590-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY23972CAMDPsychologist
PS017550PAMDPsychologist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1295038412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 CIVIC CENTER BLVD BLDG 1428",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044318",
            "telephone_number": "267-425-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 CIVIC CENTER BLVD BLDG 1428",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044318",
            "telephone_number": "267-425-1986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Campus Commons Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958258309",
            "country_code": "US",
            "telephone_number": "916-563-7107",
            "fax_number": "916-244-2689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TORRI",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23972",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.