Individual provider Active NPI

Joseph S. Sammons, M.A.

  • Clinical Psychologist
  • Prestonsburg, KY
National Provider Identifier
1679751085
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0792 Issued in KY
Practice address
162 Wells Dr
Prestonsburg, KY 41653-1520
Phone
(606) 886-8568
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0153 KY
Clinical Psychologist 103TC0700X 0792 KY Primary

Addresses

Primary practice location

162 Wells Dr
Prestonsburg, KY 41653-1520

Mailing address

162 Wells Dr
Prestonsburg, KY 41653-1520
Phone (606) 886-8568

Other names 1

  • Mr. J. S. Sammons Other name

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

LicenseStateTypeSpecialty
0153KYMDCounselor
0792KYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1679751085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 WELLS DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531520",
            "telephone_number": "606-886-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 WELLS DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531520",
            "telephone_number": "606-886-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMONS",
        "first_name": "JOSEPH",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "0153",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "0792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "SAMMONS",
            "middle_name": "S.",
            "prefix": "MR.",
            "credential": "M.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prestonsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.