Jonathan Dobkowski, PSY. D

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY 8477 Issued in FL

Practice address

960 W 41St St
Suite 116
Miami Beach, FL 33140-3326

Phone

(347) 693-4975

NPI assigned

May 30, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Building Blocks Therapy 18 Inc

  • Clinical Child & Adolescent Psychologist
  • Miami Beach, FL
  • NPI 1811324189
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1366889404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 N MERIDIAN AVE",
            "address_2": "#11",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403334",
            "telephone_number": "347-693-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W 41ST ST",
            "address_2": "SUITE 116",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403326",
            "telephone_number": "347-693-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBKOWSKI",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PSY. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY 8477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lazara Stephanie Diego, APRN
• Diets by Dani, LLC
• Ivette Diez Hage
• Billie Jean Dingess, CRNA
• Jayanand Dmello, M.D.
• Doctors Alliance Group
• Doctors Group Miami Beach LLC
• Murat Dogramaci
• Candida Dominguez
• Luis Dominguez, D.O.

• Clinical Child & Adolescent Psychologist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Clinical Child & Adolescent Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.