Individual provider Active NPI

Jonathan A Lerner, PH.D.

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1780875732
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9264 Issued in MA
Practice address
1 Bowdoin SQ Ste 700
MGH - Dept of Psychiatry - Behavioral Medicine (Bs07B)
Boston, MA 02114-2932
Phone
(617) 726-3423
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 9264 MA Primary

Addresses

Primary practice location

1 Bowdoin SQ Ste 700
MGH - Dept of Psychiatry - Behavioral Medicine (Bs07B)
Boston, MA 02114-2932

Mailing address

1 Bowdoin SQ Ste 700
MGH - Dept of Psychiatry - Behavioral Medicine (Bs07B)
Boston, MA 02114-2932
Phone (617) 726-3423

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110221000244 MA Practitioner - Clinical Psychologist 1850572181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

50 Staniford St
Boston, MA 02114-2517

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
9264MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jan 27, 2011 Accepting new patients
General Hospital Corp Current Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jan 27, 2011 Accepting new patients

Locations

1 Bowdoin Sq
Ste 700
Boston, MA 02114
Phone (617) 643-4314

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

Interoperability endpoints

  • Direct secure messaging: lerner.jonathan.mgh@direct.partners.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1780875732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOWDOIN SQ STE 700",
            "address_2": "MGH - DEPT OF PSYCHIATRY - BEHAVIORAL MEDICINE (BS07B)",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142932",
            "telephone_number": "617-726-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOWDOIN SQ STE 700",
            "address_2": "MGH - DEPT OF PSYCHIATRY - BEHAVIORAL MEDICINE (BS07B)",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142932",
            "telephone_number": "617-726-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.