Individual
DR. JONATHAN NOAH BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
91 ROBINWOOD AVE, NEEDHAM, MA 02492-2112
(781) 449-8342
(781) 449-5984
Mailing address
91 ROBINWOOD AVE, NEEDHAM, MA 02492-2112
(781) 449-8342
(781) 449-5984
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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