Provider Demographics
NPI:1235809096
Name:BAYER, JONAH
Entity type:Individual
Prefix:
First Name:JONAH
Middle Name:
Last Name:BAYER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2237
Mailing Address - Country:US
Mailing Address - Phone:216-570-9797
Mailing Address - Fax:216-570-9797
Practice Address - Street 1:105 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267-2237
Practice Address - Country:US
Practice Address - Phone:216-570-9797
Practice Address - Fax:216-570-9797
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10003468101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health