JONATHAN CLARK (NPI# 1376033381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376033381 |
| Entity Type | Individual |
| Full Name | JONATHAN CLARK |
| Credential | ED.D |
| Practice Address |
150 Payson Rd Chestnut Hill MA 02467-3272 |
| Practice Telephone | 6174698370 |
| Mailing Telephone | 6174698370 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
810-PY-PR | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | PSYCHOLOGIST | 810-PY-PR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246270 | Jonathan Andrew Clark | Nurse Practitioner | 5042 12th Ave N, St Petersburg, FL 33710-6011 | 2019-03-27 |
| 1720573447 | Jonathan Clark | Specialist/Technologist | 1214 Highland Lake Cir, Decatur, GA 30033-3460 | 2018-06-25 |
| 1871046748 | Jonathan Clark | Acupuncturist | 1803 N Wickham Rd, Melbourne, FL 32935-8155 | 2016-07-27 |
| 1831563105 | Jonathan Michael Clark | Counselor | 1522b Gregg St, Philadelphia, PA 19115-4283 | 2015-11-23 |
| 1841696820 | Jonathan Clark | Specialist/Technologist | 14049 Scenic Hwy, Lookout Mountain, GA 30750-4100 | 2014-11-18 |
| 1932508165 | Jonathan Daniel Clark | Specialist/Technologist | 11306 County Line Rd, Madison, AL 35756-2011 | 2014-08-13 |
| 1851645717 | Jonathan Clark | Student in an Organized Health Care Education/Training Program | 206 Finley Forest Dr, Chapel Hill, NC 27517-8689 | 2012-10-30 |
| 1184682866 | Jonathan Scott Clark | Family Medicine | 1103 Dewey Ave, Poteau, OK 74953-4411 | 2006-05-03 |
| 1851740724 | Jonathan J Clark Jr. | Social Worker | 5901 E 7th St, Long Beach, CA 90822-5201 | 2016-06-10 |
| 1679943328 | Jonathan Wilson Clark | Occupational Therapist | 3175 Pocahontas Rd, Baker City, OR 97814-1434 | 2015-10-06 |
| Street Address |
150 PAYSON RD |
| City | CHESTNUT HILL |
| State | MA |
| Zip Code | 02467-3272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542810 | Joanne L. Faber | Nurse Practitioner | 136 Beverly Road, Chestnut Hill, MA 02467 | 2020-03-12 |
| 1992338859 | Kim Elizabeth Chaplain | Physical Therapy Assistant | 615 Heath Street, Chestnut Hill, Ma. 02467, Chestnut Hill, MA 02467 | 2020-02-19 |
| 1407325251 | Tara Paulauskas | Social Worker | 791 Hammond St, Chestnut Hill, MA 02467 | 2018-11-21 |
| 1932684776 | Jeannine Kremer | Social Worker | 140 Commonweakth Ave, Chestnut Hill, MA 02467 | 2018-09-27 |
| 1639671563 | Kathleen Houlihan | Social Worker | Boston College Campus School - Campion 197, 140 Commonwealth Ave, Chestnut Hill, MA 02467 | 2018-03-07 |
| 1609374891 | The Counseling Center At Cela | Counselor | 675 Vfw Parkway #271, Chestnut Hill, MA 02467 | 2018-01-23 |
| 1033566328 | Boston Body Evolution LLC | Specialist | 1290 Boylston Street, Chestnut Hill, MA 02467 | 2016-05-17 |
| 1669827630 | Mikayla Wynter | Counselor | 393 Hammond St, Chestnut Hill, MA 02467 | 2016-04-27 |
| 1043697675 | Accurate Care Afc, Inc. | Home Health | 50/56 Broadlawn Park, Apt 506, Chestnut Hill, MA 02467 | 2015-05-04 |
| 1609285360 | Oba LLC | Anesthesiology | 6 Eliot Crescent, Brookline, MA 02467 | 2014-08-07 |
| Find all providers in zip 02467 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538218060 | Gony Halevi | Psychologist | 269 South St, Chestnut Hill, MA 02467-3652 | 2007-01-10 |
| 1184014532 | Lynn Walsh-blair | Psychologist | 140 Commonwealth Ave, Chestnut Hill, MA 02467-3858 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817489 | Trevor Allan Cote | Psychologist | 137 Newbury St # 6b, Boston, MA 02116-2912 | 2020-10-08 |
| 1942840244 | Joshua Michael Edwards | Psychologist | 200 Southwick Rd Apt 12, Westfield, MA 01085-4797 | 2020-01-14 |
| 1235787045 | Joy Victoria Albiani | Psychologist | 500 Amory St Ste 300, Jamaica Plain, MA 02130-2775 | 2019-08-27 |
| 1144882234 | Barbara Fritts Phd Licensed Psychologist | Psychologist | 23 Water St # 105, Holliston, MA 01746-2364 | 2019-06-28 |
| 1114496031 | Melanie Cadet | Psychologist | 440 Hancock St Ste 8-248, Quincy, MA 02171-2442 | 2018-11-20 |
| 1710466685 | Denise A Green | Psychologist | 21 Matoon St, Amherst, MA 01002-2107 | 2018-08-10 |
| 1639663065 | Martha Hardy Lamb | Psychologist | 7 Commonwealth Ave, Dedham, MA 02026-1403 | 2018-06-19 |
| 1740773977 | Jennifer Grossman | Psychologist | 192 Carlton Rd, Waban, MA 02468-1836 | 2018-06-12 |
| 1467945022 | Carmen M Torres | Psychologist | 21 Fenwood Rd Apt 2, Boston, MA 02115-6101 | 2018-06-08 |
| 1144712936 | Jacqueline Bearce | Psychologist | 132 Pondview Dr, Amherst, MA 01002-3258 | 2018-06-06 |
| Find all providers with the same taxonomy | ||||
| City | CHESTNUT HILL |
| Zip Code | 02467 |
Please comment or provide details below to improve the information on JONATHAN CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.