Provider Demographics
NPI:1992284616
Name:CRAIG JONES, PSYD, LLC
Entity type:Organization
Organization Name:CRAIG JONES, PSYD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:781-718-9752
Mailing Address - Street 1:955 MAIN ST STE 105
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-4300
Mailing Address - Country:US
Mailing Address - Phone:781-718-9752
Mailing Address - Fax:781-729-3210
Practice Address - Street 1:955 MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-4300
Practice Address - Country:US
Practice Address - Phone:781-718-9752
Practice Address - Fax:781-729-3210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9380103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty