Active NPI
Annie Lee Jones, PH.D.
- Clinical Psychologist
- Jamaica, NY
National Provider Identifier
1508806688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 005988
- Practice address
- 8786 188TH St
Hollis
Jamaica, NY 11423-1131 - Phone
- (718) 658-4648
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- 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 Psychologist | 103TC0700X | 005988 | NY | Primary |
Addresses
Primary practice location
8786 188TH St
Hollis
Jamaica, NY 11423-1131
Mailing address
8675 Midland Pkwy
Apt. 5J
Jamaica, NY 11432-3049
Phone (718) 297-4883
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 |
|---|---|---|---|
| 005988 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1508806688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8675 MIDLAND PKWY",
"address_2": "APT. 5J",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323049",
"telephone_number": "718-297-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8786 188TH ST",
"address_2": "HOLLIS",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114231131",
"telephone_number": "718-658-4648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ANNIE",
"middle_name": "LEE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "005988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.