Active NPI
Jonathan Chadwick Cole, D.O.
- Psychiatry Physician
- Mason, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 34.011910
- Practice address
- 4075 Old Western Row Rd
Mason, OH 45040-3104 - Phone
- (513) 536-0232
- Fax
- (513) 536-0609
- NPI assigned
- Sep 9, 2011
- Last updated
- Aug 20, 2015
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 34.011910 | OH | Primary |
Addresses
Primary practice location
4075 Old Western Row Rd
Mason, OH 45040-3104
Mailing address
4075 Old Western Row Rd
Mason, OH 45040-3104
Phone (513) 536-0232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10547 Montgomery Rd
Suite 700
Montgomery, OH 45242-4418
Phone (888) 830-0347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.011910 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfully Psychiatry LLC | Psychiatry | Current | Accepting new patients |
Locations
4600 Beechwood Rd
Ste 700
Cincinnati, OH 45244
463 Ohio Pike
Ste 102B
Cincinnati, OH 45255
Phone (888) 262-3616
5050 Blazer Pkwy
Ste 101
Dublin, OH 43017
Phone (614) 252-0731
1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599
165 W Center St
Ste 400
Marion, OH 43302
Phone (740) 382-3874
10547 Montgomery Rd
Ste 700
Montgomery, OH 45242
Phone (513) 393-0300
11565 Pearl Rd
Ste 200
Strongsville, OH 44136
Phone (440) 846-0862
5900 W Chester Rd
Ste C
West Chester, OH 45069
Phone (513) 777-2428
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Montgomery, OH
- NPI 1881341543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1629350269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 OLD WESTERN ROW RD",
"city": "MASON",
"state": "OH",
"postal_code": "450403104",
"telephone_number": "513-536-0232",
"fax_number": "513-536-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 OLD WESTERN ROW RD",
"city": "MASON",
"state": "OH",
"postal_code": "450403104",
"telephone_number": "513-536-0232",
"fax_number": "513-536-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "JONATHAN",
"middle_name": "CHADWICK",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-09",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "34.011910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.