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Deactivated NPI 1073970786 Deactivated / Inactive NPI Male Practitioner

Charles Jones

Psychologist • Dearborn, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Jones has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 26, 2016
NPI Deactivation Date April 23, 2026
Total Practice Duration ~10 Years of Practice (2016 – 2026)

Professional Overview & Biography Verified Profile Summary

Charles Jones was a registered Psychologist practicing in Dearborn, MI. Throughout an active medical career spanning 10 years, Charles Jones provided care at the practice location at 3101 S GULLEY RD until profile deactivation on 2026-04-23.

Practice Location & Contact Primary Location

Practice Address

3101 S Gulley Rd
Ste F

Dearborn, MI 481244406

Telephone 7344072500
Associated Practice Facility / Clinic
🏢 Futures Healthcore, Llc Facility NPI 1164599544

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Dearborn, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
60 Specialists

Practicing in Dearborn, MI (2669 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lauren Schneider

Technician, Other

NPI 1013319730
Kathryn Kaufmann , CCC-SLP

Speech-Language Pathologist

NPI 1033524103

Speech-Language Pathologist (Certificate of Clinical Competence)

Lauren Trela

Occupational Therapy Assistant

NPI 1033873443
Adrienna Bartnicki

Occupational Therapist

NPI 1043615370
Margaret Bett

Speech-Language Pathologist

NPI 1063893105
Claire Pennycook , MA, CCC-SLP

Speech-Language Pathologist

NPI 1073928230

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 23, 2026

Record deactivated on April 23, 2026

NPI Profile Active January 26, 2016

NPI status registered as active in NPPES database

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Updated Practice Location January 26, 2016

Registered at 3101 S GULLEY RD, STE F, DEARBORN, MI 481244406 (Tel: 7344072500)

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Updated Business Mailing Address January 26, 2016

Registered at 136 WILLIAM ST, SPRINGFIELD, MA 011052324 (Tel: 7344072500)

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Provider Name / Credentials Updated January 26, 2016

Recorded as CHARLES JONES

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2016

Psychologist

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Initial NPI Registration & Enumeration January 26, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073970786
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2016
Last Update: January 26, 2016
Deactivation Date: April 23, 2026

Mailing Address

136 William St

Springfield, MA 011052324

Phone: 7344072500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.