Individual
DR. JONATHAN NOAH BASS
Active
Individual
DR. JONATHAN NOAH BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
46670
MA
2084P0804X
Child & Adolescent Psychiatry Physician
46670
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
706514
TUFTS ASSOCIATED HEALTH
MA
01
—
JO3946
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/23/2006
Last updated
09/11/2025
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