DR. DANIEL J JOHNSON


Address: 1100 North College Ave, Veteran Health Care System of The Ozarks, Fayetteville, AR 72703
Phone: 4794434301

DR. DANIEL J JOHNSON (NPI# 1447202809) 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) 1447202809
Entity Type Individual
Full Name DR. DANIEL J JOHNSON
Credential PHD
Practice Address 1100 North College Ave
Veteran Health Care System of The Ozarks
Fayetteville
AR 72703
Practice Telephone 4794434301
Mailing Telephone 4794434301
Enumeration Date 2006-05-16
Last Update Date 2009-04-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 9312P AR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR BLUE CROSS/BLUE SHIELD 5S773 01

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Office Location

Street Address 1100 NORTH COLLEGE AVE
VETERAN HEALTH CARE SYSTEM OF THE OZARKS
City FAYETTEVILLE
State AR
Zip Code 72703

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538215660 Ronald Eugene Mcinroe Clinical Neuropsychologist 217 North East, Fayetteville, AR 72701 2007-01-25
1881749539 G. Martin Woodard Clinical Neuropsychologist 2711 Breezewood Ave, Suite A - 5, Fayetteville, NC 28303-5504 2007-01-24
1194816512 James W Mikesell Clinical Neuropsychologist 7000 E Genesee St Bldg C, Fayetteville, NY 13066 2006-09-28
1700802485 James M Fuendeling Clinical Neuropsychologist 2013 N Green Acres Rd, Suite C, Fayetteville, AR 72703-2619 2006-07-14
1649205006 Anne Ward Stevens Clinical Neuropsychologist 86 W Sunbridge Dr, Fayetteville, AR 72703-1822 2006-07-12
1871527267 Harvey E Chambers Clinical Neuropsychologist 2592 N Gregg Ave Ste 16, Fayetteville, AR 72703-5541 2006-07-10
1962476010 Fred Harry Brown Jr. Clinical Neuropsychologist 268 Waxhaw St, Fayetteville, NC 28314-8628 2006-02-15
1093716672 Elizabeth Ann Gamble Clinical Neuropsychologist 559 Executive Pl Ste 102, Fayetteville, NC 28305-5154 2005-08-09
1053830315 Fayetteville Neuropsychology Pllc Clinical Neuropsychologist 559 Executive Pl Ste 102, Fayetteville, NC 28305-5154 2017-09-18
1205375250 Gene Chambers Phd Pllc Clinical Neuropsychologist 2592 N Gregg Ave, Ste 16, Fayetteville, AR 72703-5543 2017-02-22
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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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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