DR. MICHAEL ANTHONY JOHNSON


Address: 6208 N College Ave, Indianapolis, IN 46220-1927
Phone: 3172519777

DR. MICHAEL ANTHONY JOHNSON (NPI# 1316244627) 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) 1316244627
Entity Type Individual
Full Name DR. MICHAEL ANTHONY JOHNSON
Credential PHD, HSPP
Practice Address 6208 N College Ave
Indianapolis
IN 46220-1927
Practice Telephone 3172519777
Practice Fax Number 3172519798
Mailing Telephone 3172519777
Mailing Fax Number 3172519798
Enumeration Date 2011-02-22
Last Update Date 2016-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
20042500A IN Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
20042500A IN Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
20042500A IN Behavioral Health & Social Service Providers

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Office Location

Street Address 6208 N COLLEGE AVE
City INDIANAPOLIS
State IN
Zip Code 46220-1927

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1356866834 Andrea Elaine Tennancour Nurse Practitioner My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 2017-08-07
1346762283 Nicole Shields Specialist/Technologist 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 2017-07-12
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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
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1902362619 Geoffrey Edwards Buck Psychologist 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 2019-02-18
1285128850 Abigail Cole Psychologist 6314 Rucker Rd Ste A, Indianapolis, IN 46220-4800 2018-06-18
1558864538 April Krowel Psychologist 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 2018-03-15
1720515893 Josie Gronbach Psychologist 50 E 91st St Ste 316, Indianapolis, IN 46240-1556 2017-05-18
1821469891 Emma Carter Psychologist 603 E Washington St Fl 9, Indianapolis, IN 46204 2015-10-15
1316385081 Megan A Orr Psychologist 2001 W 86th St Fl 7, Indianapolis, IN 46260-1902 2013-06-04
1255775490 Psychservices Indiana LLC Psychologist 5924 1/2 Hillside Avenue East Dr, Indianapolis, IN 46220-2414 2013-04-18
1740557206 Michael Eric O'brien Psychologist 5336 Elmwood Ave, Indianapolis, IN 46203-6023 2011-11-28
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Competitor

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City INDIANAPOLIS
Zip Code 46220

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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