Individual provider Active NPI

Jonathan David Small, MD

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1487896627
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD453392 Issued in PA
Practice address
330 S 9TH St
Pittsburgh, PA 15203-1266
Phone
(412) 488-4040
Fax
(412) 488-4097
NPI assigned
Apr 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD453392 PA Primary

Addresses

Primary practice location

330 S 9TH St
Pittsburgh, PA 15203-1266

Mailing address

330 S 9TH St
Pittsburgh, PA 15203-1266
Phone (412) 488-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321001540 ME Practitioner - Psychiatry 4385866417 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Life Center Corp CurrentSince Dec 30, 2024 Accepting new patients
Aroostook Mental Health Services, Inc. Psychiatry CurrentSince Jan 23, 2023 Accepting new patients
Mercy Life Center Corporation Current Accepting new patients

Locations

127 Palmer St
Ste B
Calais, ME 04619
Phone (207) 454-0775

43 Hatch Dr
Ste 310
Caribou, ME 04736
Phone (207) 493-3361

180 Academy St
Ste 3
Presque Isle, ME 04769
Phone (207) 554-2352

1200 Reedsdale St
Pittsburgh, PA 15233
Phone (412) 323-4543

330 S 9th St
Pittsburgh, PA 15203
Phone (877) 637-2924

Organizations & group practices 3

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1487896627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S 9TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031266",
            "telephone_number": "412-488-4040",
            "fax_number": "412-488-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 9TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031266",
            "telephone_number": "412-488-4040",
            "fax_number": "412-488-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD453392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.