Individual provider Active NPI

Makeda Naomi Jones, M.D

  • Child & Adolescent Psychiatry Physician
  • Yonkers, NY
National Provider Identifier
1952567372
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
244126 Issued in NY
Practice address
1 Executive Blvd Ste 178
Yonkers, NY 10701-6836
Phone
(914) 595-1482
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 244126 NY
Forensic Psychiatry Physician 2084F0202X 25MA11951200 NJ
Psychiatry Physician 2084P0800X 244126 NY
Psychiatry Physician 2084P0800X 25MA11951200 NJ
Child & Adolescent Psychiatry Physician 2084P0804X 25MA11951200 NJ
Child & Adolescent Psychiatry Physician 2084P0804X 244126 NY Primary

Addresses

Primary practice location

1 Executive Blvd Ste 178
Yonkers, NY 10701-6836

Mailing address

1 Executive Blvd Ste 178
Yonkers, NY 10701-6836
Phone (914) 595-1482

Other practice location 1

343 Old Georges Rd Ste 201
North Brunswick, NJ 08902-4801
Phone (732) 992-3609

Other practice location 2

203 Jay St Ste 501
Brooklyn, NY 11201-4314
Phone (347) 304-9465

Other practice location 3

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-7460

Other identifiers 3

IdentifierTypeStateIssuer
00R945OtherTXMEDICARE
138708613MedicaidTX
03643230MedicaidNY

Other names 1

  • Makeda Naomi Jones-Jacques Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VI, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141105001151 NY Practitioner - Psychiatry 3971664442 Reassigns benefits to 3 organizations
I20231129000023 VI Practitioner - Psychiatry 3971664442 Reassigns benefits to 1 organization
I20240713000058 NJ Practitioner - Psychiatry 3971664442

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone 9292737601426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Psychiatry CurrentSince Jul 19, 2013 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Oct 25, 2023 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Jan 22, 2020 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Aug 13, 2014 Accepting new patients
Carmel Psychological Health, PC CurrentSince Jul 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Jul 19, 2013 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Oct 25, 2023 Accepting new patients
Interborough Developmental and Consultation Center, Inc. Psychiatry CurrentSince Jan 22, 2020 Accepting new patients
Tropical Texas Behavioral Health Past Accepting new patients
Bronxcare Health System Psychiatry Past Accepting new patients
PHC of Buffalo Grove Clinical Psychology Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

111 E 210th St
Bronx, NY 10467

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

203 Jay St
Ste 501
Brooklyn, NY 11201
Phone (347) 304-9465

1 Executive Blvd
Ste 178
Yonkers, NY 10701
Phone (914) 595-1482

73 Market St
Yonkers, NY 10710
Phone (914) 848-8030

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.makedajones@148376.advancedmd-direct.com
  • Direct secure messaging: mjones1483003@nychhc.direct-ci.com
  • Direct secure messaging: lifestancehealth.makedanaomijones@142175.advancedmd-direct.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1952567372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD STE 178",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016836",
            "telephone_number": "914-595-1482",
            "fax_number": "708-865-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD STE 178",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016836",
            "telephone_number": "914-595-1482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "343 Old Georges Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089024801",
            "country_code": "US",
            "telephone_number": "732-992-3609",
            "fax_number": "732-694-7622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Jay St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014314",
            "country_code": "US",
            "telephone_number": "347-304-9465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-7460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MAKEDA",
        "middle_name": "NAOMI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NY",
            "license": "244126",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NJ",
            "license": "25MA11951200",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "244126",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11951200",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA11951200",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "244126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00R945",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138708613",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03643230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKEDA",
            "last_name": "JONES-JACQUES",
            "middle_name": "NAOMI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.