Active NPI
Shallimar M Jones, PHD
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1801038708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04495
- Practice address
- Walter Reed Army Medical Ctr
6900 Georgia Avenue, N.W.
Washington, DC 20307-0001 - Phone
- (301) 706-6678
- NPI assigned
- Mar 24, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | B1-0000806 | DE | |
| Clinical Psychologist | 103TC0700X | 04495 | MD | Primary |
Addresses
Primary practice location
Walter Reed Army Medical Ctr
6900 Georgia Avenue, N.W.
Washington, DC 20307-0001
Mailing address
18585 Coastal Hwy
Unit 10 PMB 2021
Rehoboth, DE 19971
Phone (302) 414-0963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1-0000806 | DE | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1801038708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18585 COASTAL HWY",
"address_2": "UNIT 10 PMB 2021",
"city": "REHOBOTH",
"state": "DE",
"postal_code": "19971",
"telephone_number": "302-414-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED ARMY MEDICAL CTR",
"address_2": "6900 GEORGIA AVENUE, N.W.",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070001",
"telephone_number": "301-706-6678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SHALLIMAR",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-24",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DE",
"license": "B1-0000806",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.