DR. THERESA DIANE JOHNSON (NPI# 1124300538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124300538 |
| Entity Type | Individual |
| Full Name | DR. THERESA DIANE JOHNSON |
| Credential | PH.D. |
| Practice Address |
3350 Ridgelake Dr Ste 100 Metairie LA 70002-3829 |
| Practice Telephone | 5048743190 |
| Practice Fax Number | 5043783859 |
| Mailing Telephone | 5048743190 |
| Mailing Fax Number | 5043783859 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 785 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558980938 | Theresa Johnson | Counselor | 3230 C St Ste 100, Anchorage, AK 99503-3918 | 2020-04-15 |
| 1841768835 | Theresa Johnson | Counselor | 1917 Black Creek Pkwy, Gadsden, AL 35904-4584 | 2018-11-07 |
| 1376045997 | Theresa Johnson | Licensed Practical Nurse | 1305 N 2nd St, Ishpeming, MI 49849-1147 | 2018-02-28 |
| 1912410481 | Theresa Hope Johnson | Counselor | 5001 Highway 190 E, Suite B-1, Covington, LA 70433 | 2017-11-07 |
| 1194269480 | Theresa Johnson | Physical Therapist | 11418 W Wolf Tooth Pass, Littleton, CO 80127-4026 | 2016-12-06 |
| 1649609082 | Theresa Bechdol Johnson | Behavioral Analyst | 2756 S Hooker St, Denver, CO 80236-2508 | 2013-11-06 |
| 1639431901 | Theresa Marie Johnson | Specialist | 465 Locust Ave, Amsterdam, NY 12010-1927 | 2012-06-13 |
| 1396012928 | Theresa Johnson | Community Health Worker | 5750 40th Ave, Sears, MI 49679-7003 | 2011-11-28 |
| 1396020053 | Theresa Ann Johnson | Registered Nurse | 1 Scouting Blvd., Medford, NY 11763 | 2011-10-13 |
| 1619299245 | Theresa Marie Johnson | Dental Hygienist | 5900 Long Ct, Austin, TX 78730-4919 | 2010-02-23 |
| Street Address |
3350 RIDGELAKE DR STE 100 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851556369 | Ray Bonner Worthy | Psychologist | 4933 Wabash St., Biobehavioral Medicine, Metairie, LA 70001 | 2008-07-23 |
| 1407997372 | Carlos Reinoso | Psychologist | 4517 Lorino Street, Suite 1, Metairie, LA 70006-2323 | 2007-02-12 |
| 1902909146 | Jane Labreche Hebert | Psychologist | 2901 Ridgelake, Suite 102, Metairie, LA 70002-4946 | 2006-09-06 |
| 1912539263 | Sarah Ann Fontenelle | Psychologist | 118 Ridgelake Dr, Metairie, LA 70001-5312 | 2020-02-05 |
| 1154952216 | Genevieve Elise Lapre | Psychologist | 433 Metairie Rd, Metairie, LA 70005-4333 | 2020-01-28 |
| 1619480357 | Creveling-benefield LLC | Psychologist | 4300 S I 10 Service Rd W Ste 112, Metairie, LA 70001-7425 | 2017-11-15 |
| 1730608951 | Bianchini-calamia LLC | Psychologist | 2901 N I 10 Service Rd E Ste 300, Metairie, LA 70002-6137 | 2017-09-19 |
| 1043751530 | Bianchini-mccraney LLC | Psychologist | 2901 N I 10 Service Rd E, Ste 300, Metairie, LA 70002-6137 | 2017-03-16 |
| 1336697325 | Amber Allison | Psychologist | 2901 N I 10 Service Rd E, Metairie, LA 70002-6137 | 2016-09-19 |
| 1346629987 | James Lyle Mcabee | Psychologist | 2901 N I 10 Service Rd E Ste 300, Metairie, LA 70002-6137 | 2015-05-28 |
| Find all providers in METAIRIE | ||||
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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.