Provider Demographics
NPI:1700086436
Name:JONES, NANCY CATHERINE (PSY D)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:CATHERINE
Last Name:JONES
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 W END AVE
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5326
Mailing Address - Country:US
Mailing Address - Phone:212-769-4705
Mailing Address - Fax:212-874-5087
Practice Address - Street 1:441 W END AVE
Practice Address - Street 2:SUITE #2C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5326
Practice Address - Country:US
Practice Address - Phone:212-769-4705
Practice Address - Fax:212-874-5087
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010033103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical