DR. PHILIP A JOHNSON (NPI# 1174604169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174604169 |
| Entity Type | Individual |
| Full Name | DR. PHILIP A JOHNSON |
| Credential | PH.D. |
| Practice Address |
325 Market St Suite 305-b Chattanooga TN 37402-1226 |
| Practice Telephone | 4237789455 |
| Practice Fax Number | 4232672146 |
| Mailing Telephone | 4237789455 |
| Mailing Fax Number | 4232672146 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
P - 547 | TN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P - 547 | TN | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
P - 547 | TN | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
P - 547 | TN | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | P - 547 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBST PROVIDER NO. | 0043707 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508202854 | Philip Scott Johnson | Pharmacist | 1051 Claypool Hill Mall Rd Ste 1, Cedar Bluff, VA 24609-8201 | 2013-05-14 |
| 1073757126 | Philip Conger Johnson | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2009-04-20 |
| 1831307602 | Philip Lynn Johnson | Psychologist | 617 S 48th Ave, Yakima, WA 98908-3614 | 2007-05-17 |
| 1306975263 | Philip James Johnson | Family Medicine | 2418 Lake Ave, Ft Wayne, IN 46805 | 2007-03-05 |
| 1073682100 | Philip Shawn Johnson | Dentist | 4025 W. Bell Rd, Suite 7, Phoenix, AZ 85053-2793 | 2006-11-06 |
| 1366494809 | Philip Quentin Johnson | Orthopaedic Surgery | 2829 University Dr S, Suite 202, Fargo, ND 58103-6050 | 2006-05-16 |
| 1801852405 | Philip Johnson | Specialist/Technologist | 2336 Draper Ave, Ypsilanti, MI 48197-4312 | 2006-04-22 |
| 1467418293 | Philip Evan Preston Johnson | Otolaryngology | 127 Linden Ave, Rutledge, PA 19070-2102 | 2006-04-21 |
| 1740743848 | Philip Kent Johnson | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2019-04-08 |
| 1285198176 | Philip Gayles Johnson | Social Worker | 1044 Alta Vista Rd, Louisville, KY 40205-1758 | 2019-01-25 |
| Street Address |
325 MARKET ST SUITE 305-B |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37402-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104886399 | Thomas Allen Cable | Family Medicine | 325 Market St, Suite 202, Lifestyle Center, Chattanooga, TN 37402-1226 | 2006-03-23 |
| 1215321807 | Amie Pearson | Nurse Practitioner | 325 Market St, Chattanooga, TN 37402-1226 | 2015-03-23 |
| 1609174986 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 325 Market St, Suite 200, Chattanooga, TN 37402-1226 | 2011-03-10 |
| 1861794976 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 325 Market St, Suite 200, Chattanooga, TN 37402-1226 | 2010-11-22 |
| 1255469151 | Donald Lynn Brookshire | Psychologist | 325 Market St, Suite 305-b, Chattanooga, TN 37402-1226 | 2007-03-01 |
| 1467466318 | Rosemary Anne Hurayt | Counselor | 325 Market St, Suite 303, Chattanooga, TN 37402-1226 | 2006-07-28 |
| 1285652263 | Patrick Francis Lavin | Psychologist | 325 Market St, Suite 303, Chattanooga, TN 37402-1226 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1962066167 | Carina Grace Pearson | Counselor | 1024 East M L King, Chattanooga, TN 37402 | 2019-04-24 |
| 1619461605 | Operative Monitoring of Southeast Tennessee | Psychiatry & Neurology | 200 W. Mlk Blvd, Suite 1000 (10th Floor), Chattanooga, TN 37402 | 2018-06-21 |
| 1427552280 | Riverdale Health Group LLC | Home Health | 200 W M L King Blvd, 1035 B, Chattanooga, TN 37402 | 2018-03-19 |
| 1336508431 | Ultraflex Systems, Inc. | Prosthetic/Orthotic Supplier | 200 W. Martin Luther King Blvd., Suite 1000, Chattanooga, TN 37402 | 2016-02-17 |
| 1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
| 1508021577 | Tommie Chadrena Thompson | Registered Nurse | 504 Mccallie Ave, Suite 450, Chattanooga, TN 37402 | 2008-07-18 |
| 1720174360 | Jenny Lynn Phillips | Physician Assistant | 1401 Carter Street Suite 102, Chattanooga, TN 37402 | 2006-10-04 |
| 1902843766 | Barbara Ann Beeler | Internal Medicine | 1 Cameron Hill Circle, Bcbst, Chattanooga, TN 37402 | 2006-06-01 |
| 1699764084 | Michelle S Kimball | Nurse Practitioner | 1101 Carter Street, Chattanooga, TN 37402 | 2005-10-18 |
| Find all providers in zip 37402 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699059550 | David Jamison Mcdowell | Psychologist | 3097 S. Broad St., Chattanooga, TN 37408 | 2011-10-10 |
| 1851692099 | George Henry Bercaw | Psychologist | 1145 N Concord Rd, Chattanooga, TN 37421-3848 | 2010-11-04 |
| 1023347838 | Mind Matters, LLC | Psychologist | 3146 Broad St, Chattanooga, TN 37408-3095 | 2009-12-08 |
| 1437357456 | Gaston Therapy, LLC | Psychologist | 112 Jordan Dr, Chattanooga, TN 37421-6802 | 2007-07-11 |
| 1518183334 | Mark A Womack | Psychologist | 5340 Ringgold Rd Ste 100, Chattanooga, TN 37412-3194 | 2007-04-18 |
| 1063557106 | David John Caye | Psychologist | 1504a Mccallie Avenue, Chattanooga, TN 37404-0000 | 2007-02-20 |
| 1992850408 | Kimberlee Caroline Berry-sawyer | Psychologist | 3209 Ozark Cir, Chattanooga, TN 37415-5107 | 2007-01-24 |
| 1598814394 | Michael Kavkewitz | Psychologist | 6727 Heritage Business Ct, Suite 724, Chattanooga, TN 37421-7015 | 2007-01-09 |
| 1396809984 | William Alan Wray | Psychologist | 325 Market Street, Suite 305, Chattanooga, TN 37402-1247 | 2006-12-20 |
| 1316032634 | Carolyn E Davidson | Psychologist | 5751 Uptain Road, Suite 509, Chattanooga, TN 37411 | 2006-10-03 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37402 |
Please comment or provide details below to improve the information on DR. PHILIP A JOHNSON.
| 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.