Individual provider Active NPI

Naveen Jonathan, PH.D., LMFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1578831103
Registry record updated Dec 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46703 Issued in CA
Practice address
921 W 17TH St
Santa Ana, CA 92706-3501
Phone
(714) 709-4708
NPI assigned
Dec 10, 2011
Last updated
Dec 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 46703 CA Primary

Addresses

Primary practice location

921 W 17TH St
Santa Ana, CA 92706-3501

Mailing address

507 Bellecour Way
Lake Forest, CA 92630-7931
Phone (909) 648-6493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1323475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323475200000",
    "number": "1578831103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 BELLECOUR WAY",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307931",
            "telephone_number": "909-648-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063501",
            "telephone_number": "714-709-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONATHAN",
        "first_name": "NAVEEN",
        "name_prefix": "Mr.",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-10",
        "last_updated": "2011-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.