Active NPI
Linda Rachel Jonas, PHD
- Psychologist
- Commack, NY
National Provider Identifier
1275650103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 012138-1
- Practice address
- 356 Veterans Memorial Hwy
Suite 6
Commack, NY 11725-4332 - Phone
- (631) 543-2889
- Fax
- (631) 543-2297
- NPI assigned
- Mar 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 012138-1 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 012138-1 | NY | |
| Clinical Psychologist | 103TC0700X | 012138-1 | NY | |
| Counseling Psychologist | 103TC1900X | 012138-1 | NY | |
| Family Psychologist | 103TF0000X | 012138-1 | NY | |
| Psychoanalysis Psychologist | 103TP0814X | 012138-1 | NY | |
| Psychologist | 103T00000X | 012138-1 | NY | Primary |
Addresses
Primary practice location
356 Veterans Memorial Hwy
Suite 6
Commack, NY 11725-4332
Mailing address
356 Veterans Memorial Hwy
Suite 6
Commack, NY 11725-4332
Phone (631) 543-2889
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012138-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1275650103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 VETERANS MEMORIAL HWY",
"address_2": "SUITE 6",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254332",
"telephone_number": "631-543-2889",
"fax_number": "631-543-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 VETERANS MEMORIAL HWY",
"address_2": "SUITE 6",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254332",
"telephone_number": "631-543-2889",
"fax_number": "631-543-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONAS",
"first_name": "LINDA",
"middle_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-24",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "NY",
"license": "012138-1",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "012138-1",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "012138-1",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "012138-1",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NY",
"license": "012138-1",
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NY",
"license": "012138-1",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "012138-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.