Individual provider Active NPI

Jonathan Hoffman, PH.D.

  • Cognitive & Behavioral Psychologist
  • Weston, FL
National Provider Identifier
1295275485
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PY 6390 Issued in FL
Practice address
2233 N Commerce Pkwy
Ste # 3
Weston, FL 33326-3252
Phone
(954) 217-1757
Fax
(954) 385-3807
NPI assigned
Mar 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PY 6390 FL Primary

Addresses

Primary practice location

2233 N Commerce Pkwy
Ste # 3
Weston, FL 33326-3252

Mailing address

2233 N Commerce Pkwy
Ste # 3
Weston, FL 33326-3252
Phone (954) 217-1757

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 6390FLMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mjen LLC Cognitive & Behavioral PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1295275485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 N COMMERCE PKWY",
            "address_2": "STE # 3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263252",
            "telephone_number": "954-217-1757",
            "fax_number": "954-385-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 N COMMERCE PKWY",
            "address_2": "STE # 3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263252",
            "telephone_number": "954-217-1757",
            "fax_number": "954-385-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "JONATHAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY 6390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.