Active NPI
Edward Jonas, PH.D.
- Clinical Psychologist
- Pittsburgh, PA
National Provider Identifier
1295872158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS006907L
- Practice address
- 4716 Ellsworth Ave
Suite 211
Pittsburgh, PA 15213-2851 - Phone
- (412) 576-0946
- NPI assigned
- Jan 31, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS006907L | PA | |
| Clinical Psychologist | 103TC0700X | PS006907L | PA | Primary |
Addresses
Primary practice location
4716 Ellsworth Ave
Suite 211
Pittsburgh, PA 15213-2851
Mailing address
5559 Hampton St
Pittsburgh, PA 15206-1434
Phone (412) 576-0946
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS006907L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356220800000",
"number": "1295872158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5559 HAMPTON ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152061434",
"telephone_number": "412-576-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4716 ELLSWORTH AVE",
"address_2": "SUITE 211",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132851",
"telephone_number": "412-576-0946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONAS",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2012-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "PA",
"license": "PS006907L",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS006907L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.