Active NPI
Peyton Jones
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1750898698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 39142
- Practice address
- 3432 Greystone Dr Ste 120
Austin, TX 78731-2371 - Phone
- (512) 881-6739
- NPI assigned
- Dec 31, 2017
- 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 | 39142 | TX | Primary |
Addresses
Primary practice location
3432 Greystone Dr Ste 120
Austin, TX 78731-2371
Mailing address
2200 S Pleasant Valley Rd Apt 1124
Austin, TX 78741-4610
Phone (419) 953-1358
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 |
|---|---|---|---|
| 39142 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1750898698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 S PLEASANT VALLEY RD APT 1124",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787414610",
"telephone_number": "419-953-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3432 GREYSTONE DR STE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787312371",
"telephone_number": "512-881-6739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PEYTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-31",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "39142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.