Dr. Jonathan Isaacson, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6226 Issued in OH

Legal business name

DR. JONATHAN ISAACSON, INC.

Practice address

3659 Green Rd Ste 100
Beachwood, OH 44122-5715

Phone

(216) 292-4500

Fax

(216) 373-0085

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Isaacson, PH.D.

Title

Director

Phone

(216) 292-4500

Specialties & licenses 1

Addresses

Other names 1

• The Marriage Clinic Doing business as

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1417978552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 GREEN RD STE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225715",
            "telephone_number": "216-292-4500",
            "fax_number": "216-373-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 GREEN RD STE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225715",
            "telephone_number": "216-292-4500",
            "fax_number": "216-373-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JONATHAN ISAACSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-292-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Marriage Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.