Mental Fitness and Psychotherapy

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10031 Issued in MA

Legal business name

MENTAL FITNESS AND PSYCHOTHERAPY

Practice address

1318 Beacon St
Suite 9
Brookline, MA 02446-3704

Phone

(617) 419-0643

NPI assigned

Jan 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Haywood Jenkins, PSY.D

Title

Founder

Phone

(617) 419-0643

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1487010799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FULTON ST",
            "address_2": "UNIT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091422",
            "telephone_number": "508-241-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 BEACON ST",
            "address_2": "SUITE 9",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463704",
            "telephone_number": "617-419-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL FITNESS AND PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "HAYWOOD",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "617-419-0643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Memenza, LICSW
• Brenna Menchin
• Michael Alan Mendelsohn
• Shuzi Meng, PHD
• Marian Menkel
• Nava Mermelstein, LCSW
• Edye N Merzer, PSY.D.
• Marmar Mesgarzadeh, DMD
• Oona Vail Metz, LICSW, CGP
• Patricia Marian Metzger, LICSW

• Clinical Psychologist in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.