Nickolas Jones, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60692461 Issued in WA

Practice address

920 Alder Ave
Suite 207
Sumner, WA 98390-1401

Phone

(253) 470-6733

Fax

(253) 883-3985

NPI assigned

Sep 19, 2016

Last updated

Jan 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Joy and Wellness Center PLLC

  dba The Joy and Wellness Center

  • Clinical Psychologist
  • Puyallup, WA
  • NPI 1285119735
  NPD (past)
• Katrina Higgins, PLLC

  dba Katrina Higgins, PsyD

  • Adult Mental Health Clinic/Center
  • Sumner, WA
  • NPI 1376987420
  NPD (past)

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1992253017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 ALDER AVE",
            "address_2": "SUITE 207",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901401",
            "telephone_number": "253-470-6733",
            "fax_number": "253-883-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 ALDER AVE",
            "address_2": "SUITE 207",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901401",
            "telephone_number": "253-470-6733",
            "fax_number": "253-883-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NICKOLAS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-19",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60692461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immunize RX, LLC
• Incontinent Solutions, Inc.
• Robert Josiah Jensen
• Kathryn Leila Drake Johansen, A.R.N.P.
• Billie Rene Jones, LMP
• Joy Management, Inc, April L Ziegele, DDS, PS (Ziegele Aesthetic & Restorative Dentistry)
• Kathryn L Drake Johansen Arnp, PLLC
• Kathryn Zawislak Therapy
• Katrina Higgins, PLLC (Katrina Higgins, PsyD)
• Ashley Nichole Kelly, NP-C

• Clinical Psychologist in Sumner, WA
• Providers in Sumner, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.