Active NPI
Jonathan Dator, PHD
- Counseling Psychologist
- La Jolla, CA
National Provider Identifier
1366847386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 7598745987498
- Practice address
- 9500 Gilman Dr
La Jolla, CA 92093-5004 - Phone
- (203) 512-8428
- NPI assigned
- Nov 3, 2014
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 7598745987498 | CA | Primary |
Addresses
Primary practice location
9500 Gilman Dr
La Jolla, CA 92093-5004
Mailing address
9500 Gilman Dr
La Jolla, CA 92093-5004
Phone (203) 512-8428
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 |
|---|---|---|---|
| 7598745987498 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1366847386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 GILMAN DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920935004",
"telephone_number": "203-512-8428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 GILMAN DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920935004",
"telephone_number": "203-512-8428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DATOR",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-03",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "7598745987498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
- Darryl Abramson DDS Inc
- Darush L. Mohyi, M.D., a Professional Corporation (IVF La Jolla La Jolla Cosmetic Vein Clinic)
- Mitra Dastmalchi
- Dat William Nguyen MD Inc
- Julie Shmalo Datnow
- Sandip Kumar Datta, M.D.
- Brittney Ann Dautremont, DO, MPH
- Cindy Ann Daversa, M.S., R.D., C.D.E.
- David E. Brockett D.D.S. Inc.
- David G. Smith, M.D., a Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.