DR. JONATHAN MATTHEW RAUB M.D. M.P.H. M.A. NPI 1992962708

NPI Information

NPI: 1992962708
Provider Name: DR. JONATHAN MATTHEW RAUB, M.D., M.P.H., M.A.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
189 STORRS RD
NATCHAUG HOSPITAL
MANSFIELD CENTER, CT
ZIP 06250
Phone: (860) 456-1311
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DR. Jonathan Matthew Raub, M.D., M.P.H., M.A. is a child and adolescent psychiatry psychiatry neurology in Mansfield Center, CT. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Jonathan Matthew Raub, M.D., M.P.H., M.A. NPI is 1992962708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

189 STORRS RD
NATCHAUG HOSPITAL
MANSFIELD CENTER, CT
ZIP 06250-683
Phone: (860) 456-1311
Fax: (860) 456-0164

The NPI 1992962708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 9/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	239256	MASSACHUSETTS	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	239256	MASSACHUSETTS	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	050899	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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