Dr Michael Jones Psychological Associates, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR MICHAEL JONES PSYCHOLOGICAL ASSOCIATES, LLC

Practice address

8510 Evergreen Ave Ste 106
Indianapolis, IN 46240-2338

Phone

(317) 778-8525

Fax

(317) 495-6401

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Michael Jones, PSYD, HSPPNPI 1356674105

Title

Owner

Phone

(317) 778-8525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Stephen Jones, PSY.D., H.S.P.P.

  • Psychologist
  • Indianapolis, IN
  • NPI 1356674105
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1861006587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 N COLLEGE AVE APT 702",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203182",
            "telephone_number": "317-778-8525",
            "fax_number": "317-495-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 EVERGREEN AVE STE 106",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402338",
            "telephone_number": "317-778-8525",
            "fax_number": "317-495-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL JONES PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-778-8525",
        "authorized_official_credential": "PSYD, HSPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.