Active NPI
Ben Morgan Jones, PH.D.
- Clinical Neuropsychologist
- Altoona, PA
National Provider Identifier
1376524082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PS004444L
- Practice address
- 2633 Broad Ave
Altoona, PA 16601-1914 - Phone
- (814) 946-1423
- Fax
- (814) 946-1423
- NPI assigned
- Nov 9, 2005
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS004444L | PA | Primary |
Addresses
Primary practice location
2633 Broad Ave
Altoona, PA 16601-1914
Mailing address
2633 Broad Ave
Altoona, PA 16601-1914
Phone (814) 946-1423
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109556 | Other | PA | TRICARE |
| 2015094 | Other | PA | CIGNA |
| 119532 | Other | PA | HIGHMARK |
| FOCUS | Other | PA | 740812 |
| 109556 | Other | PA | VALUE OPTIONS |
| 0004347392 | Other | PA | AETNA |
| 232147 | Other | PA | MHN |
| 849747 | Other | PA | FIRST HEALTH |
| 849747 | Other | PA | AFFORDABLE |
| PA20266 | Other | PA | ADVANTAGE HEALTH |
| VI7661 | Other | PA | EMPIRE BLUE |
| 0012221930001 | Medicaid | PA | |
| P00022445 | Other | PA | RR MEDICARE |
| A19532 | Other | PA | ICHP |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004444L | PA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1376524082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2633 BROAD AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166011914",
"telephone_number": "814-946-1423",
"fax_number": "814-946-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2633 BROAD AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166011914",
"telephone_number": "814-946-1423",
"fax_number": "814-946-1423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BEN",
"middle_name": "MORGAN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "PA",
"license": "PS004444L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "109556",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2015094",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "119532",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "740812",
"identifier": "FOCUS",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "109556",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004347392",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "232147",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "849747",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFORDABLE",
"identifier": "849747",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANTAGE HEALTH",
"identifier": "PA20266",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE",
"identifier": "VI7661",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012221930001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00022445",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ICHP",
"identifier": "A19532",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.