Jonathan Scott Runge, PSYD is a
Psychologist - Clinical based in Provincetown, Massachusetts. Jonathan Scott Runge is licensed to practice in Massachusetts (license number 9711) and his current practice location is
30 Conwell St, Provincetown, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 901-1196.
NPI number for Jonathan Scott Runge is 1689730665 and his current mailing address is Po Box 1861, Provincetown, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689730665.
Healthcare Provider's Profile
Full Name | Jonathan Scott Runge |
---|
Gender | Male |
---|
Speciality | Psychologist - Clinical |
---|
Location | 30 Conwell St, Provincetown, Massachusetts |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689730665
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 06/08/2015
Medical Identifiers
Medical identifiers for Jonathan Scott Runge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689730665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 23772 (California) | Secondary |
103TC0700X | Psychologist - Clinical | 9711 (Massachusetts) | 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 Scott Runge 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 Scott Runge, PSYD Po Box 1861, Provincetown, MA 02657-0245 Ph: (617) 901-1196 | Jonathan Scott Runge, PSYD 30 Conwell St, Provincetown, MA 02657-1548 Ph: (617) 901-1196 |
Reviews and Comments