Active NPI
Glenn N Jones, PH.D.
- Clinical Psychologist
- Baton Rouge, LA
National Provider Identifier
1336138304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 586
- Practice address
- 2900 Westfork Dr
Suite 200
Baton Rouge, LA 70827-0004 - Phone
- (225) 295-5635
- NPI assigned
- Oct 20, 2005
- Last updated
- Jul 8, 2007
- 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 | 586 | LA | Primary |
Addresses
Primary practice location
2900 Westfork Dr
Suite 200
Baton Rouge, LA 70827-0004
Mailing address
5304 Hunters Park Ave
Baton Rouge, LA 70817-2031
Phone (225) 755-3674
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 586 | LA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336138304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5304 HUNTERS PARK AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708172031",
"telephone_number": "225-755-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 WESTFORK DR",
"address_2": "SUITE 200",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708270004",
"telephone_number": "225-295-5635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "GLENN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.