Healthcare Provider Details

I. General information

NPI: 1861010977
Provider Name (Legal Business Name): THE JONES PSYCHOLOGY GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2020
Last Update Date: 09/02/2023
Certification Date: 09/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 E COLORADO BLVD STE 404
PASADENA CA
91101-2018
US

IV. Provider business mailing address

595 E COLORADO BLVD STE 404
PASADENA CA
91101-2018
US

V. Phone/Fax

Practice location:
  • Phone: 818-659-5757
  • Fax: 626-529-5636
Mailing address:
  • Phone: 818-659-5757
  • Fax: 626-529-5636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM JAMES JONES
Title or Position: C.E.O./CLINICAL PSYCHOLOGIST
Credential: PHD
Phone: 818-659-5757