Active NPI
Diane Jones, SCHOOL PSYCHOLOGIST
- School Psychologist
- Saint John, IN
National Provider Identifier
1548082001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1353063
- Practice address
- 8548 Larkspur Ter
Saint John, IN 46373-0650 - Phone
- (708) 899-0821
- NPI assigned
- Oct 28, 2024
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1353063 | IN | Primary |
Addresses
Primary practice location
8548 Larkspur Ter
Saint John, IN 46373-0650
Mailing address
8548 Larkspur Ter
Saint John, IN 46373-0650
Phone (708) 899-0821
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1353063 | IN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1548082001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8548 LARKSPUR TER",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463730650",
"telephone_number": "708-899-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8548 LARKSPUR TER",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463730650",
"telephone_number": "708-899-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DIANE",
"credential": "SCHOOL PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IN",
"license": "1353063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint John, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.