Active NPI
Jonathan S Comer, PH.D.
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1619209236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9603
- Practice address
- 648 Beacon St Ste 6
Boston, MA 02215 - Phone
- (267) 736-2761
- NPI assigned
- Feb 7, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Clinical Psychologist | 103TC0700X | 9603 | MA | Primary |
Addresses
Primary practice location
648 Beacon St Ste 6
Boston, MA 02215
Mailing address
1044 Woodfall CT
Weston, FL 33326-2832
Phone (267) 736-2761
Other practice location 1
11200 SW 8th St
Miami, FL 33199-1007
Phone (305) 348-7580
Other practice location 2
1051 Riverside Dr Unit 74
New York, NY 10032-1007
Phone (212) 543-5352
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9603 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1619209236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 WOODFALL CT",
"city": "WESTON",
"state": "FL",
"postal_code": "333262832",
"telephone_number": "267-736-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 BEACON ST STE 6",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "267-736-2761"
}
],
"practiceLocations": [
{
"address_1": "11200 SW 8th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331991007",
"country_code": "US",
"telephone_number": "305-348-7580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1051 Riverside Dr Unit 74",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100321007",
"country_code": "US",
"telephone_number": "212-543-5352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMER",
"first_name": "JONATHAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-07",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.