DR. JONATHAN FLEISCHACKER MATTANAH (NPI# 1750417598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750417598 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN FLEISCHACKER MATTANAH |
| Credential | PH.D. |
| Practice Address |
6525 N Charles St Gibson Building, West Wing, Suite 244 Towson MD 21204-6872 |
| Practice Telephone | 4109388457 |
| Practice Fax Number | 4108257105 |
| Mailing Telephone | 4109388457 |
| Mailing Fax Number | 4108257105 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3649 | MD | Behavioral Health & Social Service Providers |
| Street Address |
6525 N CHARLES ST GIBSON BUILDING, WEST WING, SUITE 244 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-6872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703219 | Janet Cohen | Social Worker | 6525 N Charles St, Suite 137, Towson, MD 21204-6872 | 2005-07-11 |
| 1619466521 | Laquonne Davis | Counselor | 6525 N Charles St, Towson, MD 21204-6872 | 2018-05-07 |
| 1316493000 | Chosen Psychiatric Services, LLC | Nurse Practitioner | 6525 N Charles St, Gibson Building Suite 085, Towson, MD 21204-6872 | 2016-08-31 |
| 1992120786 | The Zen Life | Counselor | 6525 N Charles St, Suite 136, Towson, MD 21204-6872 | 2014-03-03 |
| 1619210200 | Vonetta Alethia Davis | Nurse Practitioner | 6525 N Charles St, Gibson Building Suite 085, Towson, MD 21204-6872 | 2013-04-01 |
| 1740506468 | Charles C Mccormack | Social Worker | 6525 N Charles St, Suite 239, Towson, MD 21204-6872 | 2010-04-20 |
| 1467788653 | Michael Checknoff | Social Worker | 6525 N Charles St, Towson, MD 21204-6872 | 2009-10-23 |
| 1184862062 | Victor William Welzant | Psychologist | 6525 N Charles St, Suite 135, Towson, MD 21204-6872 | 2009-01-30 |
| 1205073277 | Andre Papantonio | Counselor | 6525 N Charles St, Towson, MD 21204-6872 | 2009-01-13 |
| 1205018447 | Janet Cohen Phd, Lcsw-c, Pa | Social Worker | 6525 N Charles St, Suite 137, Towson, MD 21204-6872 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730740796 | Victoria Hope Coleman-cowger | Psychologist | 407 Terrace Way, Towson, MD 21204-3725 | 2019-06-21 |
| 1821454893 | Amy S Provan | Psychologist | 630 Piccadilly Rd, Towson, MD 21204-3803 | 2016-01-06 |
| 1306219811 | Safe Harbor Christian Counseling | Psychologist | 40 Burke Ave, Towson, MD 21286-1124 | 2015-11-05 |
| 1467854836 | Jaime Kaplan | Psychologist | 8415 Bellona Ln Ste 107, Towson, MD 21204-2015 | 2014-09-17 |
| 1003125378 | Clear Sky Therapy Services, LLC | Psychologist | 222 Bosley Ave Ste A5, Towson, MD 21204-4328 | 2010-10-04 |
| 1821293374 | Camay Woodall | Psychologist | 3 Center Road, Towson, MD 21286 | 2007-06-15 |
| 1427267079 | Walter William Windisch | Psychologist | 6765 N Charles St, Towson, MD 21204-6822 | 2007-05-21 |
| 1952423972 | Nancy Fiorentino | Psychologist | 222 Bosley Ave Ste C6, Towson, MD 21204-4399 | 2007-04-03 |
| 1912039157 | Dustin Forrester Sentz | Psychologist | 1107 Kenilworth Dr Ste 208, Towson, MD 21204 | 2007-03-12 |
| 1447316526 | Paul C Berman | Psychologist | 22 W Pennsylvania Ave, Suite 402, Towson, MD 21204-5017 | 2006-12-31 |
| Find all providers in TOWSON | ||||
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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.