Individual provider Active NPI

Maribel Garcia-Jones, PSYCHOLOGIST

  • Psychologist
  • Scotrun, PA
National Provider Identifier
1710044672
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015572 Issued in PA
Practice address
408 Scotrun Ave
Scotrun, PA 18355-9663
Phone
(570) 688-2929
Fax
(570) 688-0022
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS015572 PA Primary

Addresses

Primary practice location

408 Scotrun Ave
Scotrun, PA 18355-9663

Mailing address

PO Box 325
Scotrun, PA 18355-0325
Phone (570) 688-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000212 PA Practitioner - Clinical Psychologist 6103886544 Practice locations: Scotrun, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

408 Scotrun Ave
Scotrun, PA 18355-7828
Phone (570) 688-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012370NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pocono Psychological Services Psychologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1710044672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "SCOTRUN",
            "state": "PA",
            "postal_code": "183550325",
            "telephone_number": "570-688-2929",
            "fax_number": "570-688-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 SCOTRUN AVE",
            "city": "SCOTRUN",
            "state": "PA",
            "postal_code": "183559663",
            "telephone_number": "570-688-2929",
            "fax_number": "570-688-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-JONES",
        "first_name": "MARIBEL",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotrun, PA

Sources for this page

Verify at the official NPI Registry.