Jonathan L Crist DO, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JONATHAN L CRIST DO, LLC

Doing business as

Jonathan L. Crist, DO

Practice address

13A State St
Bristol, RI 02809-1811

Phone

(401) 254-1200

Fax

(401) 404-4301

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan L Crist, DONPI 1336296326

Title

Psychiatrist

Phone

(401) 254-1200

Specialties & licenses 1

Addresses

Other names 2

• Jonathan L. Crist, DO Doing business as
• Jonathan L. Crist , DO Former legal business name

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan L. Crist, D.O.

  • Psychiatry Physician
  • Providence, RI
  • NPI 1336296326
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1821663766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13A STATE ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028091811",
            "telephone_number": "401-254-1200",
            "fax_number": "401-404-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13A STATE ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028091811",
            "telephone_number": "401-254-1200",
            "fax_number": "401-404-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN L CRIST DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "CRIST",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "401-254-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan L. Crist, DO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jonathan L. Crist , DO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Integrative Therapy for Change
• Sarah Jablecki, LICSW
• Nicole Jackson
• Joan S Janek, O.T.
• Wendela Regina Jiskoot, MSW LICSW
• Deborah J Kanosh, R.PH.
• Kathleen Kappler, MS, RNP
• Kar Little Box LLC
• Karen Gieseke, PHD & Associates Inc.
• Kristina Keddie, ATC, LAT

• Psychiatry Physician in Bristol, RI
• Providers in Bristol, RI by specialty
• Psychiatry Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.