MR. JEFFREY WILLIAM JOHNSON


Address: 105 High Street, Warren, OH 44483-5195
Phone: 3308142318

MR. JEFFREY WILLIAM JOHNSON (NPI# 1093125916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093125916
Entity Type Individual
Full Name MR. JEFFREY WILLIAM JOHNSON
Practice Address 105 High Street
Warren
OH 44483-5195
Mailing Address 105 High St Ne
Warren
OH 44481-1219
Practice Telephone 3308142318
Practice Fax Number 3306758620
Mailing Telephone 3308412316
Mailing Fax Number 3306758620
Enumeration Date 2014-04-30
Last Update Date 2014-04-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
OH1242264 OH Behavioral Health & Social Service Providers

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Office Location

Street Address 105 HIGH STREET
City WARREN
State OH
Zip Code 44483-5195

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417572850 Kimberly Lee Slater Peer Specialist 709 Mahoning Ave Nw, Warren, OH 44483 2020-06-11
1083239792 Krutarth Kandarp Pandya Student in an Organized Health Care Education/Training Program 1350 East Market Street 7th Floor, Warren, OH 44483 2020-06-09
1902435738 Peter Alexander Iskander Student in an Organized Health Care Education/Training Program 1350 E Market Street, 7th Floor, Warren, OH 44483 2020-04-03
1093344822 Matthew Jacob Student in an Organized Health Care Education/Training Program 1350 East Market Street, 7th Floor, Warren, OH 44483 2020-04-03
1306309638 Sameer Raj Joshi Student in an Organized Health Care Education/Training Program 1350 East Market Street, Warren, OH 44483 2019-04-12
1336619964 Alexis Valentino Nurse Practitioner 247 Oak Knoll Se, Warren, OH 44483 2018-11-27
1538656921 Biswaraj Tharu Student in an Organized Health Care Education/Training Program 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 2018-04-20
1790216448 Jeannie Gurich Substance Abuse Rehabilitation Facility 2737 Youngstown Warren Rd. Se, Warren, OH 44483 2017-03-24
1205388634 Laurie L Horvath Midwife 1651 E Market, Warren, OH 44483 2016-11-02
1235586264 Travis Robert Dickey Physical Therapist 4329 Mahoning Ave. Nw, Warren, OH 44483 2016-05-19
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942685854 Michael Prokop Psychologist 641 Fairway Dr Ne, Warren, OH 44483-5633 2015-07-22
1578981270 Marissa Davies Psychologist 2253 Atlantic St Ne, Warren, OH 44483-4470 2014-04-01
1003234816 Tonya Hardway Psychologist 3465 Tod Ave Nw, Warren, OH 44485-1362 2014-03-31
1639596257 Jacob Bails Psychologist 860 Elm Rd Ne, Warren, OH 44483-5109 2014-03-20
1891213054 Sarah Zuzik Psychologist 5759 Mahoning Ave Nw, Warren, OH 44483-1139 2017-09-07
1790103950 Keith Joritz Psychologist 2020 Willard Ave Se, Warren, OH 44484-5061 2014-04-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083220982 Christopher Enz Psychologist 914 Mohawk Dr, Mc Dermott, OH 45652-9000 2020-09-17
1114532090 Elizabeth Ann Chech Psychologist 7915 Manhattan Ave, Parma, OH 44129-1840 2020-09-09
1275146029 Jennifer Lynn Eganhouse Psychologist 187 Wilson Dr, Worthington, OH 43085-4040 2020-08-30
1275145708 Sharla Nichols Fasko Psychologist 7238 Pilliod Rd, Holland, OH 43528-9572 2020-08-17
1740806801 Danita M Hamlin Psychologist 61 State, Gallipolis, OH 45631-1185 2020-06-24
1508481508 Sharmayne Sellers Psychologist 2654 E 130th St, Cleveland, OH 44120-1452 2020-06-15
1982226833 Karen Lynn Heichel Psychologist 1684 Medina Rd, Medina, OH 44256-9314 2020-05-14
1780205807 Kera L Donovan Psychologist 9 Cherry Dr Nw, North Canton, OH 44720-5302 2020-04-29
1750916425 Rachel Martin Psychologist 20800 Westgate Professional Center #200, Fairview Park, OH 44126 2020-03-03
1093356529 Stacie Baker Corder Psychologist 11701 W Lake Rd, Vermilion, OH 44089-3029 2019-10-06
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Competitor

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City WARREN
Zip Code 44483

Improve Information

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Dataset Information

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.

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