Active NPI
Jon V Platania, PHD
- Psychologist
- Berkeley, CA
National Provider Identifier
1568763563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSYCH 13269
- Practice address
- 1385 Shattuck Ave
302
Berkeley, CA 94709-1481 - Phone
- (510) 841-4668
- Fax
- (510) 843-0202
- NPI assigned
- Nov 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSYCH 13269 | CA | Primary |
Addresses
Primary practice location
1385 Shattuck Ave
302
Berkeley, CA 94709-1481
Mailing address
1385 Shattuck Ave
302
Berkeley, CA 94709-1481
Phone (510) 841-4668
Other names 1
- Dr. Jon V Platania
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYCH 13269 | CA | MD | Psychologist |
| 13269 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1568763563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1385 SHATTUCK AVE",
"address_2": "302",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091481",
"telephone_number": "510-841-4668",
"fax_number": "510-548-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 SHATTUCK AVE",
"address_2": "302",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091481",
"telephone_number": "510-841-4668",
"fax_number": "510-843-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATANIA",
"first_name": "JON",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-06",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSYCH 13269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JON",
"last_name": "PLATANIA",
"middle_name": "V",
"prefix": "DR.",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.