MICHAEL JOHNSON (NPI# 1295354496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295354496 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHNSON |
| Practice Address |
165 Main St Ste A Cortland NY 13045-3049 |
| Practice Telephone | 6077530234 |
| Mailing Telephone | 6077530234 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
| 1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
| Street Address |
165 MAIN ST STE A |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210589 | Eva Pauline Grove | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-1304 | 2020-09-18 |
| 1619596822 | Alexandra Starmer | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-04-09 |
| 1104465517 | Charlotte Sweeney | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-01-02 |
| 1174162788 | Pamela Lynn Sanders | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-12-30 |
| 1629617634 | Allysan Loope | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-12-23 |
| 1265074876 | Alexandra Mikowski | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-10-15 |
| 1649820457 | Christopher Hyde | Peer Specialist | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-13 |
| 1285283945 | Melissa Compton | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-05 |
| 1245889922 | Lisa Stoothoff | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-05 |
| 1215583067 | Ethan Bardell | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803107 | Rachel Ann Fox | Peer Specialist | 6335 Hoagland Blackstub Rd, Cortland, OH 44410-9518 | 2020-02-12 |
| 1649820457 | Christopher Hyde | Peer Specialist | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385896 | Gary N/a Peluso | Peer Specialist | 62 Allan Dr, East Norwich, NY 11732-1203 | 2020-10-28 |
| 1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1801409842 | Alexander Mannino | Peer Specialist | 419 Palisade Ave, Yonkers, NY 10703-2610 | 2020-08-28 |
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1700404001 | Kathy Annett Gardini | Peer Specialist | 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 | 2020-07-13 |
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1174140545 | Mercedes Busby | Peer Specialist | 118 Brauncroft Ln, Amherst, NY 14226-4957 | 2020-07-01 |
| 1457977258 | Carla J Alomar | Peer Specialist | 414 Martin Rd, Lackawanna, NY 14218-2830 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
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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.