Dr Jonathan Gershon, | |
400 Bald Hill Rd Ste 530, Warwick, RI 02886-6111 | |
(401) 349-3131 | |
Not Available |
Full Name | Dr Jonathan Gershon |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 400 Bald Hill Rd Ste 530, Warwick, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962528406 | NPI | - | NPPES |
JG54521 | Medicaid | RI | |
411605 | Other | RI | RI BLUE CHIP PROVIDER # |
0000027348 | Other | RI | RI BLUE CROSS PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS00833 (Rhode Island) | Primary |
Entity Name | Child And Family Psychiatry Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760863229 PECOS PAC ID: 5294173464 Enrollment ID: O20240406000126 |
Mailing Address | Practice Location Address |
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Dr Jonathan Gershon, 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: () - | Dr Jonathan Gershon, 400 Bald Hill Rd Ste 530, Warwick, RI 02886-6111 Ph: (401) 349-3131 |
Dr. Norman Charles Dupont, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26 Janet Drive, Warwick, RI 02886 Phone: 401-738-1945 | |
Dr. Rosanne M Lowe, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 615 Jefferson Blvd, Suite B 105, Warwick, RI 02886 Phone: 401-738-6865 Fax: 401-738-1621 | |
Dr. Tonya Lynn Latzman, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 400 Bald Hill Rd Ste 530, Warwick, RI 02886 Phone: 401-349-3131 | |
Mrs. Tara Mabel Brannon Bogs, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Bald Hill Rd, Suite 517, Warwick, RI 02886 Phone: 401-732-1500 | |
Dr. Elena Monarch, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 889 Centerville Rd, Warwick, RI 02886 Phone: 401-821-4100 Fax: 401-823-9180 | |
Amber Champagne, Psychologist Medicare: Medicare Enrolled Practice Location: 400 Bald Hill Rd, Warwick, RI 02886 Phone: 401-349-3131 | |
Vanesa Morales, MA, CAGS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1035 Post Rd, Warwick, RI 02888 Phone: 401-785-0040 |