Jonathan J Harold

Key facts

NPI

1639733108

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

PS019559 (PA)

Practice address

252 N Radnor Chester Rd Ste 1C
Radnor, PA 19087-5113

Phone

(215) 618-5746

NPI assigned

Apr 30, 2019

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Reincarnated Therapy Services Mental Health Clinic/Center (Including Community Mental Health Center) · Norristown, PA · NPI 1275232688
  NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 8, 2024.

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1639733108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 STANBRIDGE ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194015310",
            "telephone_number": "215-618-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 N RADNOR CHESTER RD STE 1C",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875113",
            "telephone_number": "215-618-5746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 King Of Prussia Rd Ste 650",
            "address_purpose": "LOCATION",
            "city": "Radnor",
            "state": "PA",
            "postal_code": "190875156",
            "country_code": "US",
            "telephone_number": "215-618-5746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Sentry Pkwy",
            "address_purpose": "LOCATION",
            "city": "Blue Bell",
            "state": "PA",
            "postal_code": "194222358",
            "country_code": "US",
            "telephone_number": "215-618-5746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAROLD",
        "first_name": "JONATHAN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Radnor, PA · Clinical Psychologist in Pennsylvania