Jonathan Noah Bass, M.D.
Individual provider Active NPI Psychiatry Physician · Needham, MA
NPI 1164597035 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1164597035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 46670 (MA)
- Practice address
- 91 Robinwood Ave
Needham, MA 02492-2112 - Phone
- (781) 449-8342
- Fax
- (781) 449-5984
- NPI assigned
- Nov 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 46670 | MA | Yes |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 46670 | MA |
Addresses
Primary practice location
91 Robinwood Ave
Needham, MA 02492-2112
Mailing address
91 Robinwood Ave
Needham, MA 02492-2112
Phone (781) 449-8342
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JO3946 | Other | MA | BLUE CROSS BLUE SHIELD |
| 706514 | Other | MA | TUFTS ASSOCIATED HEALTH |
Other providers in Needham, MA
- Leonard A Bard
- Traci Lee Bartlett
- Barton S Herskovitz MD PC
- Amy Beth Basile
- Jennifer Basinger
- Elisabeth C Bassler
- Marjorie Greenwell Clapp Bates
- Gregory Mark Bayse
- Beacon Hill Behavioral Health PLLC
- Wendy P. Beaumier
All providers in Needham, MA · Psychiatry Physician 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 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.