Active NPI
Heather Jonas, PH.D.
- Psychologist
- Melville, NY
National Provider Identifier
1326342106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 68017697
- Practice address
- 445 Broadhollow Rd
Suite 25
Melville, NY 11747-3669 - Phone
- (631) 834-3624
- NPI assigned
- Jan 7, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 68017697 | NY | Primary |
Addresses
Primary practice location
445 Broadhollow Rd
Suite 25
Melville, NY 11747-3669
Mailing address
36 Foxwood Dr
Wyandanch, NY 11798-1023
Phone (631) 834-3624
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 |
|---|---|---|---|
| 68017697 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1326342106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 FOXWOOD DR",
"city": "WYANDANCH",
"state": "NY",
"postal_code": "117981023",
"telephone_number": "631-834-3624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 BROADHOLLOW RD",
"address_2": "SUITE 25",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473669",
"telephone_number": "631-834-3624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONAS",
"first_name": "HEATHER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-07",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "68017697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.