Active NPI
Jason Cory Newman
- Marriage & Family Therapist
- Novato, CA
National Provider Identifier
1154611465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100091
- Practice address
- 680 Wilson Ave
Novato, CA 94947-3825 - Phone
- (707) 742-3604
- NPI assigned
- Apr 8, 2011
- 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 | 100091 | CA | Primary |
Addresses
Primary practice location
680 Wilson Ave
Novato, CA 94947-3825
Mailing address
1400 Technology LN Apt 524
Petaluma, CA 94954-6922
Phone (707) 782-8933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44AV | Other | CA | FS RES MHSS |
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 |
|---|---|---|---|
| 100091 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Napa County | Past | Accepting new patients | |
| County of Napa | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Napa, CA
- NPI 1164572426
-
- Public Health or Welfare Agency
- Napa, CA
- NPI 1467507699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1154611465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 TECHNOLOGY LN APT 524",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949546922",
"telephone_number": "707-782-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 WILSON AVE",
"city": "NOVATO",
"state": "CA",
"postal_code": "949473825",
"telephone_number": "707-742-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "JASON",
"middle_name": "CORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-08",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "100091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FS RES MHSS",
"identifier": "44AV",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.