DR. WADE W JOHNSTON


Address: 603 Eugenia Drive, Medford, NJ 08055-2311
Phone: 6096544455

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
35SI00157000 NJ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 1728806 05

Office Location

Street Address 603 EUGENIA DRIVE
City MEDFORD
State NJ
Zip Code 08055-2311

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MEDFORD
Zip Code 08055

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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