Jonathan Michael Dubos, is a
Psychologist - Clinical Child & Adolescent based in San Rafael, California. Jonathan Michael Dubos is licensed to practice in California (license number PSY33913) and his current practice location is
111 Smith Ranch Rd, San Rafael, California. He can be reached at his office (for appointments etc.) via phone at
(415) 491-3000.
NPI number for Jonathan Michael Dubos is 1174930085 and his current mailing address is 524 Reliant Way, American Canyon, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174930085.
Healthcare Provider's Profile
| Full Name | Jonathan Michael Dubos |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
|---|
| Location | 111 Smith Ranch Rd, San Rafael, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174930085
- Provider Enumeration Date: 07/14/2014
- Last Update Date: 04/10/2023
Medical Identifiers
Medical identifiers for Jonathan Michael Dubos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174930085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY33913 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Michael Dubos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan Michael Dubos,
524 Reliant Way,
American Canyon, CA 94503-3239
Ph: (310) 966-7767 | Jonathan Michael Dubos,
111 Smith Ranch Rd,
San Rafael, CA 94903-1939
Ph: (415) 491-3000 |
Reviews and Comments