Active NPI
Camiria Jones, PHD
- Clinical Psychologist
- Oak Brook, IL
National Provider Identifier
1467730515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-007897
- Practice address
- 1200 Harger Road
Suite 220
Oak Brook, IL 60523 - Phone
- (630) 377-3535
- Fax
- (630) 530-9527
- NPI assigned
- Jul 22, 2011
- 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 | 071-007897 | IL | Primary |
Addresses
Primary practice location
1200 Harger Road
Suite 220
Oak Brook, IL 60523
Mailing address
405 Illinois Ave.
Suite 2C
St. Charles, IL 60174
Phone (630) 377-3535
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-007897 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Goodman, PH.D. Psychologist LTD. | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- St Charles, IL
- NPI 1659485878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1467730515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 ILLINOIS AVE.",
"address_2": "SUITE 2C",
"city": "ST. CHARLES",
"state": "IL",
"postal_code": "60174",
"telephone_number": "630-377-3535",
"fax_number": "630-530-9527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HARGER ROAD",
"address_2": "SUITE 220",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "60523",
"telephone_number": "630-377-3535",
"fax_number": "630-530-9527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CAMIRIA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-22",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-007897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.