| Dr Michael Jones Psychological Associates, Llc | |
|
8510 Evergreen Ave Ste 106 Indianapolis IN 46240-2338 | |
| (317) 778-8525 | |
| (317) 495-6401 |
| Full Name | Dr Michael Jones Psychological Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8510 Evergreen Ave Ste 106, Indianapolis, Indiana |
| Authorized Official Name and Position | Michael Jones (OWNER) |
| Authorized Official Contact | 3177788525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Jones Psychological Associates, Llc 5219 N College Ave Apt 702 Indianapolis IN 46220-3182 Ph: (317) 778-8525 | Dr Michael Jones Psychological Associates, Llc 8510 Evergreen Ave Ste 106 Indianapolis IN 46240-2338 Ph: (317) 778-8525 |
| NPI Number | 1861006587 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Medicare PECOS PAC ID | 7719390962 |
|---|---|
| Medicare Enrollment ID | O20210106002244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861006587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Michael S Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356674105 PECOS PAC ID: 2365619178 Enrollment ID: I20120119000391 |
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