Individual provider Active NPI

Jonathan Paul Eastman, LMFT

  • Marriage & Family Therapist
  • Hollywood, FL
National Provider Identifier
1356023097
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4627 Issued in FL
Practice address
3325 Hollywood Blvd Ste 301
Hollywood, FL 33021-6926
Phone
(954) 925-1113
NPI assigned
Aug 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4627 FL Primary

Addresses

Primary practice location

3325 Hollywood Blvd Ste 301
Hollywood, FL 33021-6926

Mailing address

1009 NE 118TH St
Biscayne Park, FL 33161-6439
Phone (305) 588-4796

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

State licenses

LicenseStateTypeSpecialty
MT4627FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Sloane Center, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

3325 Hollywood Blvd
Ste 301
Hollywood, FL 33021
Phone (954) 925-1113

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1356023097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 NE 118TH ST",
            "city": "BISCAYNE PARK",
            "state": "FL",
            "postal_code": "331616439",
            "telephone_number": "305-588-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 HOLLYWOOD BLVD STE 301",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216926",
            "telephone_number": "954-925-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.