Healthcare Provider Details

I. General information

NPI: 1326953670
Provider Name (Legal Business Name): JOTANA BEHAVIORAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 ESSEX CENTER DR STE 309
PEABODY MA
01960-2907
US

IV. Provider business mailing address

6 ESSEX CENTER DR STE 309
PEABODY MA
01960-2907
US

V. Phone/Fax

Practice location:
  • Phone: 781-745-4310
  • Fax: 781-205-1678
Mailing address:
  • Phone: 781-745-4310
  • Fax: 781-205-1678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JONADAB ERHAHON
Title or Position: MANAGER
Credential: DNP
Phone: 781-745-4310