Active NPI
Jonathan Scott Schreiber, LMFT
- Marriage & Family Therapist
- Mansfield Center, CT
National Provider Identifier
1063592202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001127
- Practice address
- 147 Coventry Rd
Mansfield Center, CT 06250-1439 - Phone
- (860) 931-5054
- Fax
- (888) 502-4995
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001127 | CT | Primary |
Addresses
Primary practice location
147 Coventry Rd
Mansfield Center, CT 06250-1439
Mailing address
147 Coventry Rd
Mansfield Center, CT 06250-1439
Phone (860) 931-5054
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CTGA000438 B810006 | Other | CT | SAGA |
| ANC1482 | Other | CT | OXFORD HEALTH PLAN |
| CTGA000438 B751773 | Other | CT | SAGA |
| 269952 | Other | CT | MHN |
| 004262408 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001127 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1063592202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 COVENTRY RD",
"city": "MANSFIELD CENTER",
"state": "CT",
"postal_code": "062501439",
"telephone_number": "860-931-5054",
"fax_number": "888-502-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 COVENTRY RD",
"city": "MANSFIELD CENTER",
"state": "CT",
"postal_code": "062501439",
"telephone_number": "860-931-5054",
"fax_number": "888-502-4995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREIBER",
"first_name": "JONATHAN",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "001127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAGA",
"identifier": "CTGA000438 B810006",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "ANC1482",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAGA",
"identifier": "CTGA000438 B751773",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "269952",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004262408",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield Center, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.