NPI Code Details Logo

NPI 1275214611

NPI 1275214611 : MARKERA JONES PHD : WASHINGTON, DC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1275214611
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MARKERA JONES PHD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/28/2023
-----------------------------------------------------
    Last Update Date     |    10/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4400 MASSACHUSETTS AVE NW 
-----------------------------------------------------
    City                 |    WASHINGTON
-----------------------------------------------------
    State                |    DC
-----------------------------------------------------
    Zip                  |    20016-8002
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    484-723-9747
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4400 MASSACHUSETTS AVENUE NW MARY GRAYDON STUDENT CENTER, 206
-----------------------------------------------------
    City                 |    WASHINGTON
-----------------------------------------------------
    State                |    DC
-----------------------------------------------------
    Zip                  |    20016-8150
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    484-723-9747
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    07308
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103TC1900X
-----------------------------------------------------
    Taxonomy Name        |    Counseling Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    PSY200001744
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    103TH0004X
-----------------------------------------------------
    Taxonomy Name        |    Health Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    103TP2701X
-----------------------------------------------------
    Taxonomy Name        |    Group Psychotherapy Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.