Active NPI
Jon R Page, LMFT
- Marriage & Family Therapist
- Stockton, CA
National Provider Identifier
1326338039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100514
- Practice address
- 343 E Main St Ste 702
Stockton, CA 95202 - Phone
- (209) 800-4573
- NPI assigned
- Apr 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 100514 | CA | Primary |
Addresses
Primary practice location
343 E Main St Ste 702
Stockton, CA 95202
Mailing address
343 E Main St Ste 702
Stockton, CA 95202-2977
Phone (209) 800-4573
Other practice location 1
306 E Main St
Suite 300
Stockton, CA 95202-2908
Phone (209) 800-4573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A8821853 | Other | CA | DRIVER'S LICENSE |
Other names 1
- Jonathan Robert Page
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Center Family Therapy Inc | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stockton, CA
- NPI 1881241776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1326338039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 E MAIN ST STE 702",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022977",
"telephone_number": "209-800-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 E MAIN ST STE 702",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95202",
"telephone_number": "209-800-4573"
}
],
"practiceLocations": [
{
"address_1": "306 E Main St",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952022908",
"country_code": "US",
"telephone_number": "209-800-4573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGE",
"first_name": "JON",
"middle_name": "R",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-14",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "100514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "A8821853",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JONATHAN",
"last_name": "PAGE",
"middle_name": "ROBERT",
"credential": "LMFT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.