Individual
DR. JONATHAN GERSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
400 BALD HILL RD STE 530, WARWICK, RI 02886-6111
(401) 349-3131
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
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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