DAMANI B. JOHNSON (NPI# 1073642310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073642310 |
| Entity Type | Individual |
| Full Name | DAMANI B. JOHNSON |
| Credential | MD |
| Practice Address |
407 Central Ave Reisterstown MD 21136-1854 |
| Mailing Address |
6501 N Charles St P.o. Box 6815 Baltimore MD 21204-6819 |
| Practice Telephone | 4105175544 |
| Mailing Telephone | 4109383000 |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2010-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D0069596 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639655020 | Damani Kobie Johnson | Registered Nurse | 1068 Cresthaven Rd Ste 150, Memphis, TN 38119-3859 | 2018-07-18 |
| Street Address |
407 CENTRAL AVE |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811041163 | Sheppard Pratt Health System, Inc. | Clinic/Center | 407 Central Ave, Reisterstown, MD 21136-1854 | 2007-01-23 |
| 1083223002 | Kathleen Martin | Social Worker | 407 Central Ave, Reisterstown, MD 21136-1854 | 2020-07-27 |
| 1578172649 | Kimberly Deschamps | Social Worker | 407 Central Ave, Reisterstown, MD 21136-1854 | 2020-07-24 |
| 1013536416 | Sarah Anne Hewitt | Occupational Therapist | 407 Central Ave, Reisterstown, MD 21136-1854 | 2020-04-15 |
| 1114498433 | Lorena Kazmierski | Occupational Therapy Assistant | 407 Central Ave, Reisterstown, MD 21136 | 2018-12-14 |
| 1942770037 | Robbie Dobson Robinson | Speech-Language Pathologist | 407 Central Ave, Reisterstown, MD 21136-1854 | 2018-11-30 |
| 1427528900 | Phyllis Guthua | Psychologist | 407 Central Ave, Reisterstown, MD 21136-1854 | 2018-11-28 |
| 1073083556 | Tara Elizabeth Larkin | Speech-Language Pathologist | 407 Central Ave, Reisterstown, MD 21136-1854 | 2018-11-28 |
| 1285103903 | Sarah Marie Matthews | Psychologist | 407 Central Ave, Reisterstown, MD 21136-1854 | 2018-11-26 |
| 1851860704 | Billie Jo Wendland | Social Worker | 407 Central Ave, Reisterstown, MD 21136-1854 | 2018-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932220647 | Davis Hall Shingleton | Psychiatry & Neurology | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302442 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 532 Baltimore Blvd Ste 403, Westminster, MD 21157-6146 | 2020-10-07 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1043798663 | Miguel J Macaoay Md, Pa | Psychiatry & Neurology | 511 Jermor Ln Ste 105, Westminster, MD 21157-6152 | 2018-08-06 |
| 1619498383 | Island Care Mental Health | Psychiatry & Neurology | 11022 Nicholas Lane, Unit 2 Suite1 Village Square Center, Berlin, MD 21811-1663 | 2017-07-03 |
| 1932592441 | New Providence Healthcare Associates Inc. | Psychiatry & Neurology | 145 Fleet St Ste 136, C/o New Providence Healthcare Associates Inc., Oxon Hill, MD 20745-1548 | 2015-03-07 |
| 1578979951 | Sa Eun Park | Psychiatry & Neurology | 1800 Orleans St Fl Center12, Baltimore, MD 21287-0010 | 2014-07-07 |
| 1295149920 | Munjerina Ahmd Munmun | Psychiatry & Neurology | 41900 Fenwick St Ste 1, Leonardtown, MD 20650-3815 | 2014-06-20 |
| 1275978165 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2013-05-06 |
| 1548502362 | Dina Marie Sztein | Psychiatry & Neurology | 9841 Broken Land Pkwy Ste 211, Columbia, MD 21046 | 2013-03-19 |
| 1902171374 | Coleen Marie Schrepfer | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209 | 2012-03-18 |
| Find all providers with the same taxonomy | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.