Individual provider Active NPI

Martika Channel Jones, PHD

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1629757299
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39783 Issued in TX
Practice address
4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084
Phone
(214) 918-1999
Fax
(972) 850-9452
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 39783 TX Primary

Addresses

Primary practice location

4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084

Mailing address

4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084
Phone (214) 918-1999

Other practice location 1

1341 W Mockingbird Ln Ste 760
Dallas, TX 75247-6913
Phone (214) 760-1964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230825000586 TX Practitioner - Clinical Psychologist 9537522461 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Trails Community MHMR Center CurrentSince Nov 1, 2023 Accepting new patients
Carewright Clinical Services, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Legacy Assessment Group, LLC CurrentSince Jul 1, 2023 Accepting new patients
Bluebonnet Trails Community MHMR Center Clinical CurrentSince Nov 1, 2023 Accepting new patients

Locations

4925 Greenville Ave
Ste 1050
Dallas, TX 75206

1341 W Mockingbird Ln
Ste 760
Dallas, TX 75247
Phone (214) 760-1964

1341 W Mockingbird Ln
Ste 760W
Dallas, TX 75247
Phone (214) 760-1964

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carewright Clinical Services, PLLC 33 clinicians

Practice addresses (Care Compare)

4925 Greenville Ave
Suite 1050
Dallas, TX 75206-4084
Phone (214) 918-1999

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1629757299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064084",
            "telephone_number": "214-918-1999",
            "fax_number": "972-850-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064084",
            "telephone_number": "214-918-1999",
            "fax_number": "972-850-9452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 W Mockingbird Ln Ste 760",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752476913",
            "country_code": "US",
            "telephone_number": "214-760-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARTIKA",
        "middle_name": "CHANNEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.