DR. JONATHAN JOSHUA ENTIS


Address: 240 Concord Ave, Cambridge, MA 02138
Phone: 6177022733

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1493 Cambridge St, Cambridge, MA 021391047 6176651183
2294 Massachusetts Ave, Cambridge, MA 021401812 6177022733

Office Location

Street Address 240 CONCORD AVE
City CAMBRIDGE
State MA
Zip Code 02138

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City CAMBRIDGE
Zip Code 02138

Improve Information

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Dataset Information

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.

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