Active NPI
Daniel A Carmona, MA
- School Psychologist
- Jackson, MI
National Provider Identifier
1659947539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SP0000001053617
- Practice address
- 2215 Aurora Dr
Jackson, MI 49203-3801 - Phone
- (269) 422-7102
- NPI assigned
- Jun 1, 2021
- Sex
- Male
- 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 | SP0000001053617 | MI | Primary |
Addresses
Primary practice location
2215 Aurora Dr
Jackson, MI 49203-3801
Mailing address
2215 Aurora Dr
Jackson, MI 49203-3801
Phone (269) 422-7102
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP0000001053617 | MI | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1659947539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 AURORA DR",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033801",
"telephone_number": "269-422-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 AURORA DR",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033801",
"telephone_number": "269-422-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMONA",
"first_name": "DANIEL",
"middle_name": "A",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MI",
"license": "SP0000001053617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
- Careline Palliative Care LLC
- Carelink of Jackson, a Community-Owned Specialty Hospital
- Carelink of Jackson, a Community-Owned Specialty Hospital
- Alissa Carlisle
- Alexandra Carmichael
- Victoria Elysse Gregoria Carmona, MSW
- Carol Ann Carney, CNP
- Tammy J Caron, RN, CNS
- Jamie Carpenter, PHARMD, RPH
- Richard L Carpenter, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.