Jesse Jones, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

843 Issued in TN

Practice address

6563 Stage Oaks Dr
Suite 101
Bartlett, TN 38134-2886

Phone

(901) 937-5234

Fax

(901) 937-5237

NPI assigned

Jul 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Team Centers Inc

  • Psychologist
  • Chattanooga, TN
  • NPI 1992793012
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1902005895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 3RD ST",
            "address_2": "SUITE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032106",
            "telephone_number": "423-622-0500",
            "fax_number": "423-622-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6563 STAGE OAKS DR",
            "address_2": "SUITE 101",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342886",
            "telephone_number": "901-937-5234",
            "fax_number": "901-937-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JESSE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3680008",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Lynn Johnson
• Tammy Renae Johnson, PMHNP
• Tanika Michelle Johnson, LPC-MHSP, LMHC, NCC
• Ardewa Latae Jones
• Jan Jones, PHARM D
• Judy Gail Jones, O.D.
• Lakesha K. Jones, CMSW
• Melanie Jones, LCSW
• Robert R Jones, MD
• Sandra Rankin Jones, DPH

• Psychologist in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.