Jones Wilson Group, LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

JONES WILSON GROUP, LLC

Practice address

1480 Rising Sun Rd
Camden Wyoming, DE 19934-1915

Phone

(302) 399-6546

NPI assigned

Mar 9, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elijah Wilson

Title

Chief Financial Officer

Phone

(302) 399-6546

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1497402481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 RISING SUN RD",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199341915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 RISING SUN RD",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199341915",
            "telephone_number": "302-399-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES WILSON GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "302-399-6546"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103TM1800X",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamila.jones@joneswilsongroup.com",
            "affiliation": "N",
            "address_1": "1480 Rising Sun Rd",
            "city": "Camden Wyoming",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199341915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Intellectual & Developmental Disabilities Psychologist in Camden Wyoming, DE
• Providers in Camden Wyoming, DE by specialty
• Intellectual & Developmental Disabilities Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.