Jones Psychological Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301011246 Issued in MI

Legal business name

JONES PSYCHOLOGICAL SERVICES PLLC

Practice address

805 Superior St
Ste a
Port Huron, MI 48060-3771

Phone

(810) 966-1972

Fax

(810) 966-1973

NPI assigned

Apr 13, 2012

Organization subpart

No

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

Authorized official

Name

Mark Stephen Jones, LLP

Title

Owner

Phone

(810) 966-1972

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1295092310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SUPERIOR ST",
            "address_2": "STE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603771",
            "telephone_number": "810-966-1972",
            "fax_number": "810-966-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SUPERIOR ST",
            "address_2": "STE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603771",
            "telephone_number": "810-966-1972",
            "fax_number": "810-966-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-966-1972",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011246",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301051834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Lynn Johnson, LLPC
• Cheyenne Johnston
• Jon Christopher Johnston, LMSW
• Sharon Johnston, CPNP
• Shelby Johnston, LMSW
• Joshua Scott Jones
• Marc Richard Connely Jones, D.O.
• Mark Stephen Jones, LLP
• Mary Lou Jones, CRNA
• Jessica Ann Jorge, MD

• Clinical Psychologist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.