Individual
DR. JONATHAN GERSHON
Active
Individual
DR. JONATHAN GERSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00833
RI
103TC0700X
Clinical Psychologist
Primary
PS00833
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000027348
RI BLUE CROSS PROVIDER #
RI
01
—
411605
RI BLUE CHIP PROVIDER #
RI
05
—
JG54521
—
RI
Enumeration date
03/22/2007
Last updated
05/04/2026
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