Individual provider Active NPI

Jon Dimond, PH.D.

  • Clinical Psychologist
  • New Orleans, LA
National Provider Identifier
1639605033
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1001395 Issued in DC
Practice address
2738 General Pershing St
New Orleans, LA 70115-6226
Phone
(646) 418-5478
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1556 LA
Clinical Psychologist 103TC0700X 022075-1 NY
Clinical Psychologist 103TC0700X PSY1001395 DC Primary

Addresses

Primary practice location

2738 General Pershing St
New Orleans, LA 70115-6226

Mailing address

2738 General Pershing St
New Orleans, LA 70115-6226

Other practice location 1

695 Kinkaid Road
Naval Health Clinic Annapolis
Annapolis, MD 21401
Phone (410) 293-2273

Other practice location 2

3000 Connecticut Ave. NW Suite 436
Washington, DC 20008
Phone (202) 491-6481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 3, 2026 through Apr 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1001395DCMDClinical Psychologist
1556LAMDClinical Psychologist
022075-1NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1639605033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 GENERAL PERSHING ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 GENERAL PERSHING ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156226",
            "telephone_number": "646-418-5478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "695 Kinkaid Road",
            "address_2": "Naval Health Clinic Annapolis",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "21401",
            "country_code": "US",
            "telephone_number": "410-293-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Connecticut Ave. NW Suite 436",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20008",
            "country_code": "US",
            "telephone_number": "202-491-6481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMOND",
        "first_name": "JON",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1556",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022075-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1001395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.