Organization Active NPI

Jo Ann Barnes PHD PC

  • Clinical Psychologist
  • Salem, OR
National Provider Identifier
1699956193
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0901 Issued in OR
Legal business name
JO ANN BARNES PHD PC
Practice address
355 High St SE
Salem, OR 97301-3613
Phone
(503) 763-2922
Fax
(503) 763-2641
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dr. Jo Ann Barnes, PH D
Title
Chief Executive Officer
Phone
(503) 763-2922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0901 OR Primary

Addresses

Primary practice location

355 High St SE
Salem, OR 97301-3613

Mailing address

355 High St SE
Salem, OR 97301-3613
Phone (503) 763-2922

National Provider Directory

National Provider Directory

Locations

355 High St SE
Salem, OR 97301
Phone (503) 763-2922

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1699956193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 HIGH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013613",
            "telephone_number": "503-763-2922",
            "fax_number": "503-763-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HIGH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013613",
            "telephone_number": "503-763-2922",
            "fax_number": "503-763-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO ANN BARNES PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "503-763-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "0901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.