Dr. Jonathan Joshua Entis
Group Psychotherapist Counseling Psychologist
240 Concord Ave
Cambridge
, Massachusetts 02138
Dr. Jonathan Joshua Entis
Group Psychotherapist Counseling Psychologist
240 Concord Ave
Cambridge
, Massachusetts 02138
(617) 702-2733
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About
Features
Specialties
- Counseling Psychologist
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Dr. Jonathan Joshua Entis
- 240 Concord Ave
- Cambridge, MA
- Zip : 02138-1337
- Phone : (617) 702-2733
Second Address
- Dr. Jonathan Joshua Entis
- 240 Concord Ave
- Cambridge, MA
- Zip : 02138
- Phone : (617) 702-2733
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 10695 | MA |
| N | 103TP2701X | Group Psychotherapist | 10695 | MA |
National Provider Identifier
| NPI | 1053773150 |
|---|---|
| Provider Name | Dr. Jonathan Joshua Entis |
| First Address | Cambridge, MA 02138-1337 |
| Second Address | Cambridge, MA 02138 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2016 |
| Last Update Date | 12/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.