NPIMap

Organization Active NPI

Jonathan Loomis

  • Community/Behavioral Health Agency
  • Auburn, NY
National Provider Identifier
1568749968
Registry record updated Nov 23, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
R054031-1 Issued in NY
Legal business name
JONATHAN LOOMIS
Practice address
2 South St
204
Auburn, NY 13021-3833
Phone
(315) 252-6978
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Jonathan Snyder Loomis, LCSWR
Title
Clinical Therapist
Phone
(315) 252-6978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X R054031-1 NY Primary

Addresses

Primary practice location

2 South St
204
Auburn, NY 13021-3833

Mailing address

2 South Street
204
Auburn, NY 13021-3833
Phone (315) 252-6978

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1568749968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOUTH STREET",
            "address_2": "204",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213833",
            "telephone_number": "315-252-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SOUTH ST",
            "address_2": "204",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213833",
            "telephone_number": "315-252-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN LOOMIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SNYDER",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "315-252-6978",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "R054031-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.