Jason Henry Hoag – Counseling Psychologist

Key facts

NPI: 1164037792
Entity type: Individual (NPI type 1)
Primary specialty: Counseling Psychologist 103TC1900X
Practice address: 100 Independence Dr Unit 8
Hyannis, MA 02601-1898
Phone: (508) 778-1839
NPI assigned: Sep 10, 2020
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counseling Psychologist	103TC1900X			Yes

Addresses

Primary practice location

100 Independence Dr Unit 8
Hyannis, MA 02601-1898

Mailing address

8 Compass Cir
East Falmouth, MA 02536-4705
Phone (415) 828-9201

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 10, 2020.

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1164037792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 COMPASS CIR",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025364705",
            "telephone_number": "415-828-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE DR UNIT 8",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011898",
            "telephone_number": "508-778-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOAG",
        "first_name": "JASON",
        "middle_name": "HENRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

All providers in Hyannis, MA · Counseling Psychologist in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.