Individual provider Active NPI

Roger C Jones, PHD

  • Clinical Psychologist
  • Amherst, MA
National Provider Identifier
1720189145
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3279 Issued in MA
Practice address
622 E Pleasant St
Amherst, MA 01002-1526
Phone
(413) 774-2981
Fax
(413) 774-2982
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3279 MA Primary

Addresses

Primary practice location

622 E Pleasant St
Amherst, MA 01002-1526

Mailing address

622 E Pleasant St
Amherst, MA 01002-1526
Phone (413) 774-2981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090420000302 MA Practitioner - Clinical Psychologist 3779630280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

622 E Pleasant St
Amherst, MA 01002-1526
Phone (413) 774-2981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3279MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Montague Psychological Associates Clinical CurrentSince Sep 15, 2008 Accepting new patients

Locations

55 Federal St
Ste 110
Greenfield, MA 01301
Phone (413) 774-2981

356 Montague City Rd
Turners Falls, MA 01376
Phone (413) 772-0707

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1720189145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E PLEASANT ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021526",
            "telephone_number": "413-774-2981",
            "fax_number": "413-774-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E PLEASANT ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021526",
            "telephone_number": "413-774-2981",
            "fax_number": "413-774-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROGER",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.