JONATHAN MICHAEL DUBOS
NPI 1174930085
Psychologist - Clinical Child & Adolescent in San Rafael, CA

Active since July 14, 2014
111 SMITH RANCH RD, SAN RAFAEL, CA 94903(415) 491-3000 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2023, Jul 2, 2018 (2 updates tracked since 2018).

About Jonathan Michael Dubos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN MICHAEL DUBOS (NPI 1174930085) is an individual clinical child & adolescent provider in San Rafael, California, licensed in California (PSY33913) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1174930085
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameJONATHAN MICHAEL DUBOS
Location Address111 SMITH RANCH RDSan Rafael, CA 94903-1939
Mailing Address524 Reliant WayAmerican Canyon, CA 94503-3239 · (310) 966-7767
Sole ProprietorNo
Enumeration DateJuly 14, 2014
Last NPPES UpdateApril 10, 20232 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
NPI 1174930085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in CA · PSY33913
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedCounselorTaxonomy 101Y00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
111 SMITH RANCH RD, San Rafael, CA 94903

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychiatry & Neurology (Psychiatry)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist (Clinical)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychiatry & Neurology (Addiction Medicine)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Dubos's NPI number?

The NPI number for Jonathan Dubos is 1174930085. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Jonathan Dubos located?

Jonathan Dubos practices at 111 Smith Ranch Rd, San Rafael, CA 94903. The listed phone number is (415) 491-3000.

What is Jonathan Dubos's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Jonathan Dubos was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.