DR. WADE W JOHNSTON (NPI# 1225247653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225247653 |
Entity Type | Individual |
Full Name | DR. WADE W JOHNSTON |
Credential | PSYD |
Practice Address |
603 Eugenia Drive Medford NJ 08055-2311 |
Mailing Address |
Po Box 1331 Medford NJ 08055-6331 |
Practice Telephone | 6096544455 |
Mailing Telephone | 6096544455 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00157000 | NJ | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 1728806 | 05 |
Street Address |
603 EUGENIA DRIVE |
City | MEDFORD |
State | NJ |
Zip Code | 08055-2311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
Find all providers in zip 08055 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720639958 | Steven C Schoger Psy D LLC | Psychologist | 10 Crater Lake Ave Ste 21, Medford, OR 97504-7445 | 2019-09-29 |
1578925947 | Linda Shane Escoll | Psychologist | 120 Curtis St, Counseling and Mental Health Service, Tufts University, Medford, MA 02155 | 2016-03-24 |
1033576723 | Nicole Paolillo | Psychologist | 2 Persimmon Ct, Medford, NJ 08055-3605 | 2016-01-26 |
1275929630 | Lizabeth M. Eckerd | Psychologist | 4497 Brown Ridge Ter Ste 106, Medford, OR 97504-9173 | 2015-04-13 |
1407265176 | Vicki Lumley, Ph.d., LLC | Psychologist | 724 South Central Ave., Suite 101, Medford, OR 97501-7851 | 2014-08-07 |
1144463845 | Boyd David Sherbourne | Psychologist | 670 Superior Ct Ste 110, Medford, OR 97504-6179 | 2009-04-09 |
1912143306 | Jacob John Mahon | Psychologist | 1744 E Mcandrews Rd Ste B, Medford, OR 97504-5576 | 2009-01-06 |
1750550687 | Joseph F Roe | Psychologist | 136 W Broadway Ave, Medford, WI 54451-1757 | 2008-02-25 |
1396942025 | Alan Ledford | Psychologist | 409 Ardmore Ave, Medford, OR 97504-8004 | 2007-06-27 |
1336364066 | Karen Hagerman Muller | Psychologist | 4497 Brown Ridge Ter Ste 104, Medford, OR 97504-9173 | 2007-04-16 |
Find all providers in MEDFORD |
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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.