Individual provider Active NPI

Margaret Jones, PSY.D.

  • Psychologist
  • San Leandro, CA
National Provider Identifier
1316149404
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
22464 Issued in CA
Practice address
333 Estudillo Ave
Suite 201
San Leandro, CA 94577-4717
Phone
(510) 221-6233
Fax
(866) 481-4972
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 22464 CA Primary

Addresses

Primary practice location

333 Estudillo Ave
Suite 201
San Leandro, CA 94577-4717

Mailing address

333 Estudillo Ave
Suite 201
San Leandro, CA 94577-4717
Phone (510) 221-6233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150720000684 CA Practitioner - Clinical Psychologist 4880907906 Practice locations: Oakland, CA; San Leandro, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22464CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Psychological Services CurrentSince Nov 1, 2012 Accepting new patients

Locations

333 Estudillo Ave
Ste 201
San Leandro, CA 94577
Phone (510) 221-6233

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1316149404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ESTUDILLO AVE",
            "address_2": "SUITE 201",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774717",
            "telephone_number": "510-221-6233",
            "fax_number": "866-481-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ESTUDILLO AVE",
            "address_2": "SUITE 201",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774717",
            "telephone_number": "510-221-6233",
            "fax_number": "866-481-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "22464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.