Active NPI
Carlos A. Jones, PH.D.
- Psychologist
- Phoenix, AZ
National Provider Identifier
1861438616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3203
- Practice address
- 5080 N 40TH St
Suite 165
Phoenix, AZ 85018-2147 - Phone
- (602) 840-9621
- Fax
- (602) 840-3480
- NPI assigned
- Jun 21, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3203 | AZ | Primary |
Addresses
Primary practice location
5080 N 40TH St
Suite 165
Phoenix, AZ 85018-2147
Mailing address
5080 N 40TH St
Suite 165
Phoenix, AZ 85018-2147
Phone (602) 840-9621
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3203 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861438616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 N 40TH ST",
"address_2": "SUITE 165",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182147",
"telephone_number": "602-840-9621",
"fax_number": "602-840-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5080 N 40TH ST",
"address_2": "SUITE 165",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182147",
"telephone_number": "602-840-9621",
"fax_number": "602-840-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CARLOS",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "3203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.