Active NPI
Jonathan Hayden Locke, PSY.D.
- Clinical Psychologist
- Fpo, CA
National Provider Identifier
1700801776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8430
- Practice address
- PSC 476 Box 25
Fpo, CA 96322 - Phone
- (312) 252-2564
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8430 | MA | Primary |
Addresses
Primary practice location
PSC 476 Box 25
Fpo, CA 96322
Mailing address
PSC 476 Box 25
Fpo, AP 96322
JP
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8430 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700801776",
"addresses": [
{
"country_code": "JP",
"country_name": "Japan",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "PSC 476 BOX 25",
"city": "FPO",
"state": "AP",
"postal_code": "96322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PSC 476 BOX 25",
"city": "FPO",
"state": "CA",
"postal_code": "96322",
"telephone_number": "312-252-2564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKE",
"first_name": "JONATHAN",
"middle_name": "HAYDEN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fpo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.