Jonathan Stern, M.S., L.P.C., L.a.D.C., Counseling and Psychotherapy S

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

001882 Issued in CT

Legal business name

JONATHAN STERN, M.S., L.P.C., L.A.D.C., COUNSELING AND PSYCHOTHERAPY S

Practice address

2911 Dixwell Ave
Suite B-5
Hamden, CT 06518-3195

Phone

(203) 916-5496

Fax

(203) 265-1216

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan David Stern, L.P.C., L.A.D.C.

Title

Owner

Phone

(203) 213-9987

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1316289531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 DIXWELL AVE",
            "address_2": "SUITE B-5",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183195",
            "telephone_number": "203-916-5496",
            "fax_number": "203-265-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 DIXWELL AVE",
            "address_2": "SUITE B-5",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183195",
            "telephone_number": "203-916-5496",
            "fax_number": "203-265-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN STERN, M.S., L.P.C., L.A.D.C., COUNSELING AND PSYCHOTHERAPY S",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-213-9987",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C., L.A.D.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001882",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "000823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12094074",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235918",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID",
            "identifier": "1018781",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marielle Johnson, LCSW
• Randy M Johnson, PA-C
• Sarah Maria Johnson, MPT
• Jennifer Ann Johnston, M.A.
• Jonathan L. Goldberg DMD
• Alexis Jones
• Janiah M Jones
• Paris Lanee Jones
• Saundre Jones
• Xilin Feng Jordan, L.A.C

• Community/Behavioral Health Agency in Hamden, CT
• Providers in Hamden, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.