Individual provider Active NPI

Charles Richard Jonassaint, PHD

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1932406998
Registry record updated Feb 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2024 E Monument St
Suite 1-500D
Baltimore, MD 21287-0007
Phone
(410) 502-8696
Fax
(410) 502-6446
NPI assigned
Feb 26, 2011
Last updated
Feb 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

2024 E Monument St
Suite 1-500D
Baltimore, MD 21287-0007

Mailing address

1412 Northgate Rd
Baltimore, MD 21218-1549
Phone (919) 219-7481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1298678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298678400000",
    "number": "1932406998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 NORTHGATE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181549",
            "telephone_number": "919-219-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 E MONUMENT ST",
            "address_2": "SUITE 1-500D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870007",
            "telephone_number": "410-502-8696",
            "fax_number": "410-502-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONASSAINT",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-26",
        "last_updated": "2011-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.