DR. LEA LAFFOON JOHANSEN (NPI# 1255513834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255513834 |
| Entity Type | Individual |
| Full Name | DR. LEA LAFFOON JOHANSEN |
| Credential | PSY.D., ABPP |
| Practice Address |
2480 Llewellyn Ave Fort Meade MD 20755 |
| Mailing Address |
2480 Llewellyn Ave Fort George G Meade MD 20755-7081 |
| Practice Telephone | 3016778895 |
| Mailing Telephone | 3016778895 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2018-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PY 60192765 | WA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
37582 | TX | Behavioral Health & Social Service Providers |
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
305803 | LA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1941 East Rd, Houston, TX 770546010 | 7134862708 |
| Street Address |
2480 LLEWELLYN AVE |
| City | FORT MEADE |
| State | MD |
| Zip Code | 20755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356802524 | Lindsay Marie Robinson | Physical Therapy Assistant | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2019-03-28 |
| 1346742905 | Judy Garcia De Cubias | Occupational Therapy Assistant | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2018-02-28 |
| 1760926463 | Patrice Sahvohn Scott | Social Worker | 2480 Llewellyn Ave, Ste. 5800, Fort Meade, MD 20755-7081 | 2016-12-14 |
| 1518417815 | Mikala Bruno | Physical Therapist | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2016-10-11 |
| 1386091254 | Kelly Rae Turner | Physician Assistant | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2016-05-19 |
| 1255735403 | Christine Ng | Pharmacist | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2014-10-17 |
| 1336541978 | Ella Maria Stallings | Nurse Practitioner | 2480 Llewellyn Ave, Fort Meade, MD 20755 | 2014-09-25 |
| 1588005052 | Christine Tuong-vi Nguyen Darby | Pharmacist | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2013-07-12 |
| 1285989525 | Marian G Upton | Counselor | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2012-07-23 |
| 1578827325 | Tracy Viviansue Love | Dermatology | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2012-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215451216 | Patrick Hoye | Dentist | 8472 Simonds Street, Epes Dental Clinic, Ft. Meade, MD 20755 | 2017-08-01 |
| 1982150561 | Martha Davis | Technician | 2553 Hartel St, Fort Meade, MD 20755 | 2016-09-01 |
| 1649725995 | Jaclyn Leith | Psychologist | 2479 5th St., Ft. Meade, MD 20755 | 2016-08-16 |
| 1548613417 | Catherine Geller | Dental Hygienist | 8476 Simonds St, Suite 5700, Fort George G. Meade, MD 20755 | 2016-07-15 |
| 1396194510 | Cristina Ribeiro | Dental Hygienist | 8476 Simond St, Suite 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| 1508215765 | Nicole Ferris | Dental Hygienist | 8476 Simond St Ste 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| 1487031548 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Rose Street, Bldg 2799, Ft Meade, MD 20755 | 2015-04-28 |
| 1801206685 | Kimbrough Acc Military Mtf | Pharmacy | 2799 Rose Street, Ft Meade, MD 20755 | 2014-05-02 |
| 1578980744 | Claudia Goleburn | Psychologist | 2479 5th St, Ft Meade, MD 20755 | 2014-03-25 |
| 1093063158 | Michael Elsworth Yapp | Pharmacist | 24180 Llewellyn Avenue, Fort Meade, MD 20755 | 2012-08-21 |
| Find all providers in zip 20755 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457512543 | Michael Brody | Psychologist | 10412 Crossing Creek Rd, Potomac, MD 20854-4201 | 2008-06-20 |
| 1982811709 | Jane E Jackson | Psychologist | 3512 Sandy Ct, Kensington, MD 20895-1420 | 2007-05-17 |
| 1811509805 | United Counseling and Support Services | Psychologist | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2020-08-20 |
| 1134656747 | Dennis Gates, Mental Health LLC | Psychologist | 9500 Arena Dr, Suite 432, Largo, MD 20774-3701 | 2017-05-12 |
| 1063809549 | Chesapeake Psychological Services | Psychologist | 8607 Cedar St, Silver Spring, MD 20910-4324 | 2015-04-22 |
| 1528486255 | Dr. Saleh & Associates,llc | Psychologist | 110 Hospital Rd, 302, Prince Frederick, MD 20678-4019 | 2014-03-31 |
| 1174961700 | The Robert Sylvia Group | Psychologist | 1800 N Charles St, Suite 206, Baltimore, MD 21201-5920 | 2013-06-05 |
| 1518117761 | Carroll Counseling Center, LLC | Psychologist | 1380 Progress Way, Suite 101, Eldersburg, MD 21784-6464 | 2008-09-24 |
| 1780853325 | Shore Psychiatric Associates, LLC | Psychologist | 8221 Teal Dr, Suite 406, Easton, MD 21601-7227 | 2008-02-28 |
| 1467663989 | Mark Weist | Psychologist | 701 W Pratt St, Baltimore, MD 21201-1023 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT MEADE |
| Zip Code | 20755 |
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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.