Active NPI
Rebecca Anne Jones, PH.D.
- Clinical Psychologist
- Decatur, GA
National Provider Identifier
1780859462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1817
- Practice address
- 685 Densley Dr
Decatur, GA 30033-5445 - Phone
- (404) 895-1066
- NPI assigned
- Apr 24, 2008
- 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 | 1817 | GA | Primary |
Addresses
Primary practice location
685 Densley Dr
Decatur, GA 30033-5445
Mailing address
685 Densley Dr
Decatur, GA 30033-5445
Phone (404) 250-4774
Other practice location 1
1244 Clairmont Rd Ste 101
Decatur, GA 30030-1250
Phone (404) 250-4774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 23, 2023 through Jan 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1817 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1780859462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 DENSLEY DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335445",
"telephone_number": "404-250-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 DENSLEY DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335445",
"telephone_number": "404-895-1066"
}
],
"practiceLocations": [
{
"address_1": "1244 Clairmont Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300301250",
"country_code": "US",
"telephone_number": "404-250-4774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "REBECCA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2024-07-18",
"certification_date": "2024-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "1817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.