Active NPI
Tera S Jones, LICENSED PSYCHOLOGIS
- Clinical Psychologist
- Rio Rancho, NM
National Provider Identifier
1356778344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1300
- Practice address
- 2400 Unser Blvd SE # 1
Rio Rancho, NM 87124-4740 - Phone
- (505) 253-6050
- NPI assigned
- Oct 4, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 1300 | NM | Primary |
Addresses
Primary practice location
2400 Unser Blvd SE # 1
Rio Rancho, NM 87124-4740
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Other practice location 1
5203 Juan Tabo Blvd NE Ste 2Ab
Albuquerque, NM 87111-2683
Phone (410) 725-1026
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1300 | NM | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1356778344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PHS PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 UNSER BLVD SE # 1",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244740",
"telephone_number": "505-253-6050"
}
],
"practiceLocations": [
{
"address_1": "5203 Juan Tabo Blvd NE Ste 2Ab",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871112683",
"country_code": "US",
"telephone_number": "410-725-1026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "TERA",
"middle_name": "S",
"credential": "LICENSED PSYCHOLOGIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "1300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.