MEDICARE: JACQUELINE KAY JONES PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	32191	TX
2	103TC1900X	Counseling Psychologist	32191	TX
3	103TP2701X	Group Psychotherapy Psychologist	32191	TX
4	103T00000X	Psychologist	32191	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00244063	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0027NU	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1831225812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE KAY JONES PHD

Provider Business Mailing Address
First Line	:	3031 GOLDEN HILLS LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3201
Country	:	US
Telephone Number	:	281-389-8732
Fax Number	:

Provider Business Practice Location Address
First Line	:	7070 KIGHTS CT
Second Line	:	STE 1301
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6855
Country	:	US
Telephone Number	:	713-859-8240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	06/05/2023

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