Active NPI
Michael R Jones Therapy
- Clinical Social Worker
- Santa Fe, NM
National Provider Identifier
1336682467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-09546
- Legal business name
- MICHAEL R JONES THERAPY
- Practice address
- 532 Don Gaspar Ave
Santa Fe, NM 87505-2626 - Phone
- (505) 985-5644
- NPI assigned
- Nov 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Rutherford Jones, PH.D., L.C.S.W.
- Title
- Sole Proprietor
- Phone
- (505) 985-5644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-09546 | NM | Primary |
Addresses
Primary practice location
532 Don Gaspar Ave
Santa Fe, NM 87505-2626
Mailing address
PO Box 32145
Santa Fe, NM 87594-2145
Phone (505) 985-5644
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479686400000",
"number": "1336682467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32145",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875942145",
"telephone_number": "505-985-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 DON GASPAR AVE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052626",
"telephone_number": "505-985-5644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL R JONES THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-21",
"last_updated": "2016-11-21",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "RUTHERFORD",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "505-985-5644",
"authorized_official_credential": "PH.D., L.C.S.W."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-09546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.