Vonda Dionne Jones-Hudson, PH.D., MDIV.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10263 Issued in FL

Practice address

1623 US Highway #1
Suite a-6
Sebastian, FL 32958-3879

Phone

(772) 918-3166

Fax

(772) 918-3411

NPI assigned

Oct 2, 2008

Last updated

Jan 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Tree of Life for Healing and Wellness

  • Clinical Psychologist
  • Sebastian, FL
  • NPI 1497219232
  Medicare reassignment Authorized official
• New Day Behavioral Health Center, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fayetteville, NC
  • NPI 1013251156
  Medicare reassignment NPD
• Northern Kentucky Mental Health Mental Retardation Regional Board

  dba NorthKey Community Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Covington, KY
  • NPI 1578527610
  NPD (past)

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1508017096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 US HIGHWAY #1",
            "address_2": "SUITE A-6",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583879",
            "telephone_number": "772-918-3166",
            "fax_number": "772-918-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 US HIGHWAY #1",
            "address_2": "SUITE A-6",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583879",
            "telephone_number": "772-918-3166",
            "fax_number": "772-918-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-HUDSON",
        "first_name": "VONDA",
        "middle_name": "DIONNE",
        "name_prefix": "Ms.",
        "credential": "PH.D., MDIV.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10263",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Moore, M.D., PA
• Geneva Johnson
• Kristine Mary Johnson
• Lynn Davis Johnson, OD
• Joint Pain Relief Centers Inc
• Joseph Cheries Psy D PL
• Latoya Joseph, DMD
• Steve Paul Joseph II, DMD
• Piyush N. Joshi, MD
• Diane Jovanovich, RD, LD

• Clinical Psychologist in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.

Verify at the official NPI Registry.