Individual provider Active NPI

Jesse Lee Thornton, PSY.D.

  • Psychologist
  • Columbus, OH
National Provider Identifier
1740554849
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6898 Issued in OH
Practice address
2 Easton Oval
Suite 450
Columbus, OH 43219-6036
Phone
(614) 475-9500
Fax
(614) 475-9821
NPI assigned
Mar 7, 2012
Last updated
Mar 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6898 OH Primary

Addresses

Primary practice location

2 Easton Oval
Suite 450
Columbus, OH 43219-6036

Mailing address

2 Easton Oval
Suite 450
Columbus, OH 43219-6036
Phone (614) 475-9500

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

LicenseStateTypeSpecialty
6898OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Integrated Psychological Services Psychologist PastSince Oct 24, 2013 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1740554849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EASTON OVAL",
            "address_2": "SUITE 450",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196036",
            "telephone_number": "614-475-9500",
            "fax_number": "614-475-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EASTON OVAL",
            "address_2": "SUITE 450",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196036",
            "telephone_number": "614-475-9500",
            "fax_number": "614-475-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "JESSE",
        "middle_name": "LEE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.