TAMMY TERRELL JOHNSON (NPI# 1356764328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356764328 |
| Entity Type | Individual |
| Full Name | TAMMY TERRELL JOHNSON |
| Credential | PSYCH TECH |
| Practice Address |
1501 Hughes Way Ste 150 Long Beach CA 90810 |
| Mailing Address |
1501 Hughes Way Ste 150 Long Beach CA 90810-1878 |
| Practice Telephone | 3102216336 |
| Mailing Telephone | 3102216336 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT33044 | CA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1528 Freeman Ave, Long Beach, CA 908041774 | 5626686569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492620 | Tammy Lee Johnson | Hearing Instrument Specialist | 1151 E Main St Ste B, Torrington, CT 06790-3983 | 2020-03-20 |
| 1295034528 | Tammy Lynn Johnson | Physical Therapy Assistant | 729 Alamo St E, Lehigh Acres, FL 33974-4207 | 2011-03-25 |
| 1417264334 | Tammy Johnson | Occupational Therapist | 24515 Cedar Shores Dr, Cohasset, MN 55721-8840 | 2010-09-13 |
| 1801047782 | Tammy R Johnson | Case Manager/Care Coordinator | 3410 Hwy 65 North, Mcgehee, AR 71654 | 2008-10-09 |
| 1427263854 | Tammy Rachante Johnson | Physical Therapist | 3505 Lake Lynda Dr., Suite 207, Orlando, FL 32817-8327 | 2007-05-11 |
| 1407973175 | Tammy Johnson | Optometrist | 3515 Del Prado Blvd S Unit 4, Cape Coral, FL 33904 | 2007-03-26 |
| 1851327779 | Tammy Marie Johnson | Social Worker | 12310 Heritage Meadows Dr, Plainfield, IL 60585-6159 | 2006-06-23 |
| 1003414707 | Tammy Johnson | Nurse's Aide | 1307 Williamstown Pike, Optional, Williamstown, WV 26187 | 2020-10-14 |
| 1780157057 | Tammy Johnson | Nurse Practitioner | 4822 Preston Hwy, Louisville, KY 40213-2226 | 2019-01-09 |
| 1437666930 | Tammy Johnson | Physical Therapy Assistant | 1725 S Highland Ave Ste D, Jackson, TN 38301-7767 | 2018-01-05 |
| Street Address |
1501 HUGHES WAY STE 150 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447347836 | Florisela Orozco | Case Manager/Care Coordinator | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2006-10-06 |
| 1225638075 | Brianna Mylissa Galvan | Rehabilitation Practitioner | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-10-30 |
| 1851990915 | Leonor Montelongo | Case Manager/Care Coordinator | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-10-20 |
| 1740888148 | Michelle Marey Chanto | Licensed Vocational Nurse | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-10-16 |
| 1811595572 | Estevan Carrillo | Registered Nurse | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-10-15 |
| 1962000752 | Miriam Patricia Arboleda | Case Manager/Care Coordinator | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-10-14 |
| 1023625589 | Angie Guerrero | Case Manager/Care Coordinator | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-09-29 |
| 1184239519 | Mammie Freeman | Registered Nurse | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-09-11 |
| 1184239790 | Wendy Chan | Registered Nurse | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-09-10 |
| 1730793563 | Perla Hernandez | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567262 | Arsenia Morante Ramos | Technician | 1928 W Lincoln Street, Long Beach, CA 90810 | 2019-09-18 |
| 1992263867 | Yesenia Llerenas | Counselor | Children's Institute Inc, 1500 Hughes Way #100, Long Beach, CA 90810 | 2019-03-08 |
| 1649746215 | Cassandra Whitney Dewey | Counselor | 2120 W. Williams Street, Long Beach, CA 90810 | 2018-10-22 |
| 1497204028 | Jose Carlos Garcia | Dental Assistant | 2636 E Dominguez St, Long Beach, CA 90810 | 2016-09-23 |
| 1255706560 | Sabrina Navarro | Rehabilitation Practitioner | 1501 Hughles Way, Suite 150, Long Beach, CA 90810 | 2015-12-11 |
| 1275917692 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 2000 San Gabriel Avenue, Long Beach, CA 90810 | 2015-07-15 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1619241601 | Vander J. Dale Jr. | Counselor | 2090 River Avenue, Long Beach, CA 90810 | 2012-03-08 |
| 1205125606 | Maria Anna Castillo Tejada | Physical Therapist | 2679 N La Vere Dr, Long Beach, CA 90810 | 2011-04-06 |
| 1386973436 | Roosevelt Williams Jr. | Physical Therapy Assistant | 6444 East Spring St, # 247, Long Beach, CA 90810 | 2009-12-21 |
| Find all providers in zip 90810 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821450016 | Ryann Thibodeaux | Licensed Psychiatric Technician | 2385 Easy Ave, Long Beach, CA 90810-3334 | 2016-03-25 |
| 1417047069 | Anthony Desanto-kelly | Licensed Psychiatric Technician | 3501 N Lakewood Blvd, Long Beach, CA 90808-1736 | 2006-10-13 |
| 1730793563 | Perla Hernandez | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-08-31 |
| 1740893916 | Lisa Louise Morrison | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-08-27 |
| 1114539921 | Maria Barnes | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-08-21 |
| 1831701267 | Craig Alexander March | Licensed Psychiatric Technician | 1501 Hughes Way Ste 100, Long Beach, CA 90810-1877 | 2020-08-18 |
| 1548878606 | Alejandro Chavira | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-07-15 |
| 1235773045 | Parchae Heard | Licensed Psychiatric Technician | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-11-05 |
| 1962044206 | Davinesha Marie Sally | Licensed Psychiatric Technician | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-10-08 |
| 1295388684 | Vincent Lopez | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2019-07-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90810 |
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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.