Individual provider Active NPI

Michael Stephen Jones, PSY.D., H.S.P.P.

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1356674105
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20042631A Issued in IN
Practice address
8510 Evergreen Ave
Suite 106
Indianapolis, IN 46240-2338
Phone
(317) 778-8525
NPI assigned
Sep 11, 2009
Last updated
Mar 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 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 20042631A IN Primary

Addresses

Primary practice location

8510 Evergreen Ave
Suite 106
Indianapolis, IN 46240-2338

Mailing address

5219 N College Ave
Apartment 702
Indianapolis, IN 46220-3185
Phone (317) 532-7289

Other identifiers 1

IdentifierTypeStateIssuer
201130340MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20120119000391 IN Practitioner - Clinical Psychologist 2365619178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

911 E 86TH St
Suite 201 K
Indianapolis, IN 46240-1850
Phone (317) 778-8525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20042631AINMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monumental Behavioral Health Inc Psychologist CurrentSince Mar 25, 2021 Accepting new patients
Dr Michael Jones Psychological Associates, LLC Psychologist CurrentSince Nov 10, 2020 Accepting new patients

Locations

1201 N Post Rd
Ste C
Indianapolis, IN 46219
Phone (317) 405-8333

8510 Evergreen Ave
Ste 106
Indianapolis, IN 46240
Phone (317) 778-8525

911 E 86th St
Ste 201K
Indianapolis, IN 46240
Phone (317) 778-8525

Organizations & group practices 2

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1356674105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 N COLLEGE AVE",
            "address_2": "APARTMENT 702",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203185",
            "telephone_number": "317-532-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 EVERGREEN AVE",
            "address_2": "SUITE 106",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402338",
            "telephone_number": "317-778-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., H.S.P.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042631A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201130340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.