DR. JONATHAN JOSHUA ENTIS (NPI# 1053773150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053773150 |
Entity Type | Individual |
Full Name | DR. JONATHAN JOSHUA ENTIS |
Credential | PH.D |
Practice Address |
240 Concord Ave Cambridge MA 02138 |
Mailing Address |
240 Concord Ave Cambridge MA 02138-1337 |
Practice Telephone | 6177022733 |
Mailing Telephone | 6177022733 |
Enumeration Date | 2016-03-28 |
Last Update Date | 2019-08-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
10695 | MA | Behavioral Health & Social Service Providers |
N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
10695 | MA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1493 Cambridge St, Cambridge, MA 021391047 | 6176651183 | |
2294 Massachusetts Ave, Cambridge, MA 021401812 | 6177022733 |
Street Address |
240 CONCORD AVE |
City | CAMBRIDGE |
State | MA |
Zip Code | 02138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134169303 | Hilary Stuart Norton | Psychologist | 240 Concord Ave, Cambridge, MA 02138 | 2006-06-07 |
1114139797 | Theodore Anthony Powers | Psychologist | 240 Concord Ave, Cambridge, MA 02138-1337 | 2007-05-04 |
1942427992 | Colleen Jane O'brien | Psychologist | 240 Concord Ave, Suite 2, Cambridge, MA 02138-1337 | 2007-04-19 |
1902944531 | Irene Merwin | Psychologist | 240 Concord Ave, 1-a, Cambridge, MA 02138-1337 | 2007-02-03 |
1114018272 | Sheila Maher | Psychologist | 240 Concord Ave, Suite 2, Cambridge, MA 02138-1337 | 2006-09-27 |
1417980574 | Deborah L Korn | Psychologist | 240 Concord Ave, Suite 2, Cambridge, MA 02138-1337 | 2006-07-09 |
1245275882 | Laura Pang | Psychologist | 240 Concord Ave, Cambridge, MA 02138-1337 | 2006-06-18 |
1548200413 | Judith Elizabeth Hunt | Social Worker | 240 Concord Ave, Cambridge, MA 02138 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
Find all providers in zip 02138 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477001139 | Eva Simone Wilson | Psychologist | 23 Irving St, Apt 2, Cambridge, MA 02138-3042 | 2016-09-12 |
1023244852 | Jeb Thomas Fowler | Psychologist | 1 Arnold Cir Ste 7, Cambridge, MA 02139-2250 | 2009-06-08 |
1780833731 | Judith Rose Nelson-barnett | Psychologist | 32393 Rendova Cir Ne, Cambridge, MN 55008-6643 | 2008-09-15 |
1093836983 | Barbara Olivia Erickson | Psychologist | 237 2nd Ave Sw, Cambridge, MN 55008-1536 | 2007-04-02 |
1831230853 | Charlotte B Temin | Psychologist | 15a Channing St, Cambridge, MA 02138-4713 | 2007-02-11 |
1205989662 | Robert Adelberg | Psychologist | 18 Bellevue Ave, Cambridge, MA 02140-3635 | 2007-01-19 |
1356411862 | North Charles Mental Health Research & Training Foundation, Inc | Psychologist | 54 Washburn Ave, Cambridge, MA 02140-1128 | 2006-11-09 |
1386673242 | Mark Lamar Byers | Psychologist | 2 Arnold Cir, Cambridge, MA 02139-2213 | 2006-07-02 |
1770537656 | Francine Davis | Psychologist | 1 Mifflin Pl, Suite 260, Cambridge, MA 02138-4907 | 2006-05-22 |
1083277297 | Jessica Liu | Psychologist | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2019-04-15 |
Find all providers in CAMBRIDGE |
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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.