Individual provider Active NPI

Robert Edward Eric Joneson, PH.D.

  • Psychologist
  • Webster City, IA
National Provider Identifier
1346637527
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00476 Issued in IA
Practice address
1924 Superior St
Webster City, IA 50595-3146
Phone
(515) 832-3332
Fax
(515) 832-1114
NPI assigned
Apr 25, 2015
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00476 IA Primary

Addresses

Primary practice location

1924 Superior St
Webster City, IA 50595-3146

Mailing address

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 602-9833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00476IAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Fort Dodge, Inc. CurrentSince Sep 25, 2017 Accepting new patients

Locations

126 N 10th St
Fort Dodge, IA 50501
Phone (515) 576-6500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1346637527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-602-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 SUPERIOR ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505953146",
            "telephone_number": "515-832-3332",
            "fax_number": "515-832-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONESON",
        "first_name": "ROBERT",
        "middle_name": "EDWARD ERIC",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-25",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster City, IA

Sources for this page

Verify at the official NPI Registry.