Active NPI
Michael Stephen Jones, PSY.D., H.S.P.P.
- Psychologist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20042631A
- Practice address
- 8510 Evergreen Ave
Suite 106
Indianapolis, IN 46240-2338 - Phone
- (317) 778-8525
- NPI assigned
- Sep 11, 2009
- Last updated
- Mar 23, 2017
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201130340 | Medicaid | IN |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20042631A | IN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monumental Behavioral Health Inc | Psychologist | Current | Accepting new patients |
| Dr Michael Jones Psychological Associates, LLC | Psychologist | Current | 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.
-
- Psychologist
- Indianapolis, IN
- NPI 1861006587
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- Psychologist
- Indianapolis, IN
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.