Provider Demographics
NPI:1275650103
Name:JONAS, LINDA RACHEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:RACHEL
Last Name:JONAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 VETERANS MEMORIAL HWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-4332
Mailing Address - Country:US
Mailing Address - Phone:631-543-2889
Mailing Address - Fax:631-543-2297
Practice Address - Street 1:356 VETERANS MEMORIAL HWY
Practice Address - Street 2:SUITE 6
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-4332
Practice Address - Country:US
Practice Address - Phone:631-543-2889
Practice Address - Fax:631-543-2297
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012138-1103TA0700X, 103TB0200X, 103TC0700X, 103TC1900X, 103TF0000X, 103TP0814X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis