Jonathan Scully, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

697 Main St Ste 1
Holden, MA 01520-1861

Phone

(774) 633-9443

NPI assigned

Jan 9, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Clinical & Support Options, Inc

  • Community/Behavioral Health Agency
  • Greenfield, MA
  • NPI 1831265115
  Medicare reassignment NPD
• Scully Psychotherapy PLLC.

  • Mental Health Counselor
  • Holden, MA
  • NPI 1083400741
  NPD Authorized official

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1700322278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 MAIN ST STE 1",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201861",
            "telephone_number": "774-633-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 MAIN ST STE 1",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201861",
            "telephone_number": "774-633-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "JONATHAN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-09",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Scalfani-Leroux, LCSW
• Jared James Scaramuzzi, O.D.
• Hilary A Schaffer, RN
• Elizabeth Jayne Scott, M.ED.
• Scully Psychotherapy PLLC.
• Bhumi Shah, RPH
• Christina Noel Shaw, D.M.D.
• John Dobbie Shaw, D.D.S.
• Shirley Shen
• David Scott Shepro, MD

• Mental Health Counselor in Holden, MA
• Providers in Holden, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.