Healthcare Provider Details

I. General information

NPI: 1053224519
Provider Name (Legal Business Name): ISAIAH JULIUS JONES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7620 MAPLE AVE APT 420
TAKOMA PARK MD
20912-5519
US

IV. Provider business mailing address

7620 MAPLE AVE APT 420
TAKOMA PARK MD
20912-5519
US

V. Phone/Fax

Practice location:
  • Phone: 202-415-2837
  • Fax:
Mailing address:
  • Phone: 202-415-2837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: