Active NPI
Mark P. Jones, PSY.D.
- Clinical Psychologist
- Mansfield, MA
National Provider Identifier
1326089467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7630
- Practice address
- 100 Copeland Dr
Suite 7
Mansfield, MA 02048-1245 - Phone
- (508) 954-2355
- Fax
- (508) 384-1818
- NPI assigned
- Jun 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7630 | MA | Primary |
Addresses
Primary practice location
100 Copeland Dr
Suite 7
Mansfield, MA 02048-1245
Mailing address
11 Robert Toner Blvd
Ste. 5, #222
North Attleboro, MA 02763-1174
Phone (508) 954-2355
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251642000 | Other | MA | MAGELLAN |
| W05956 | Other | MA | BCBSMA |
| 1890701 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040607000822 | MA | Practitioner - Clinical Psychologist | 4981694346 | Practice locations: Mansfield, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
100 Copeland Dr
Suite 7
Mansfield, MA 02048-1245
Phone (508) 954-2355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420156800000",
"number": "1326089467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ROBERT TONER BLVD",
"address_2": "STE. 5, #222",
"city": "NORTH ATTLEBORO",
"state": "MA",
"postal_code": "027631174",
"telephone_number": "508-954-2355",
"fax_number": "508-384-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COPELAND DR",
"address_2": "SUITE 7",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481245",
"telephone_number": "508-954-2355",
"fax_number": "508-384-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MARK",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2015-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "251642000",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "W05956",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1890701",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.