Active NPI
Shannon Jewell-Jones, PHD
- Clinical Psychologist
- Gilbert, AZ
National Provider Identifier
1962154575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-005455
- Practice address
- 3285 S Val Vista Dr
Gilbert, AZ 85297-7000 - Phone
- (602) 277-5551
- NPI assigned
- Jan 25, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-005455 | AZ | Primary |
Addresses
Primary practice location
3285 S Val Vista Dr
Gilbert, AZ 85297-7000
Mailing address
3285 S Val Vista Dr
Gilbert, AZ 85297-7000
Phone (602) 277-5551
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 |
|---|---|---|---|
| PSY-005455 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1962154575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3285 S VAL VISTA DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852977000",
"telephone_number": "602-277-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 S VAL VISTA DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852977000",
"telephone_number": "602-277-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL-JONES",
"first_name": "SHANNON",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "PSY-005455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.