Provider Demographics
NPI:1831225812
Name:JONES, JACQUELINE KAY (PHD)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:KAY
Last Name:JONES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:
Other - Last Name:JONES-MCKINNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:3031 GOLDEN HILLS LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3201
Mailing Address - Country:US
Mailing Address - Phone:281-389-8732
Mailing Address - Fax:
Practice Address - Street 1:7070 KIGHTS CT
Practice Address - Street 2:STE 1301
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6855
Practice Address - Country:US
Practice Address - Phone:713-859-8240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32191103TC0700X, 103TC1900X, 103TP2701X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163620103Medicaid
TXP00244063OtherRAILROAD MEDICARE
TX0027NUOtherBLUE CROSS BLUE SHIELD