Dr. Jonathan J Entis, PHD
Psychologist, Counseling in Cambridge, Massachusetts
1053773150- Practice location
- 240 Concord Ave, Cambridge, MA 02138
- Phone
- 617-702-2733
- Fax
- —
- Last updated
- August 12, 2019
Jonathan Joshua Entis is a Psychologist, Counseling based in Cambridge, MA. Jonathan Joshua Entis practices in Cambridge, MA and has the professional credentials of PHD. The NPI Number for Jonathan Joshua Entis is 1053773150 and holds a License No. 10695 (MA). The current practice location address for Jonathan Joshua Entis is 240 Concord Ave, Cambridge, MA 02138 and can be reached out via phone at 617-702-2733.
Provider Profile Details
- NPI Number
- 1053773150
- Provider Name
- Jonathan Joshua Entis
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 240 Concord Ave, Cambridge, MA 02138
- Phone Number
- 617-702-2733
- Primary Taxonomy
- Psychologist, Counseling · 103TC1900X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 28, 2016
- Last Update Date
- August 12, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 240 Concord Ave
Cambridge, MA 02138 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02138
- Phone Number
- 617-702-2733
Provider Business Mailing Address Details
- Address
- 240 Concord Ave
Cambridge, MA 02138-1337 - City
- Cambridge
- State
- MA
- Zip
- 02138-1337
- Phone Number
- 617-702-2733
License Information
- License Number (1)
- 10695
- License State (1)
- MA
- Taxonomy (1)
- Psychologist, Group Psychotherapy · 103TP2701X
- License Number (2)
- 10695
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Counseling · 103TC1900X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jonathan J Entis, PHD?
The NPI number of Dr. Jonathan J Entis, PHD is 1053773150. It was assigned on March 28, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan J Entis, PHD?
Dr. Jonathan J Entis, PHD is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in MA under license number 10695.
Where does Dr. Jonathan J Entis, PHD practice?
The practice location is 240 Concord Ave, Cambridge, MA 02138. The office can be reached at 617-702-2733 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053773150 directly on the NPPES registry website.