Active NPI
Sharon Marie Jones, PH.D.
- Clinical Psychologist
- Royal Oak, MI
National Provider Identifier
1710915186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301008696
- Practice address
- 221 S Main St
Suite 203
Royal Oak, MI 48067-2653 - Phone
- (248) 752-1142
- Fax
- (248) 629-1432
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301008696 | MI | Primary |
Addresses
Primary practice location
221 S Main St
Suite 203
Royal Oak, MI 48067-2653
Mailing address
29029 Forest Hill Dr
Farmington Hills, MI 48331-2442
Phone (248) 553-9353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680E017660 | Other | MI | BCBS PROVIDER ID |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008696 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seniors Wellness Group, P.C. | Clinical | 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.
-
- Clinical Psychologist
- Royal Oak, MI
- NPI 1568419240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1710915186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29029 FOREST HILL DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483312442",
"telephone_number": "248-553-9353",
"fax_number": "248-553-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 S MAIN ST",
"address_2": "SUITE 203",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672653",
"telephone_number": "248-752-1142",
"fax_number": "248-629-1432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SHARON",
"middle_name": "MARIE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301008696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "680E017660",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.