DR. TAMARA ANTIONETTE JOHNSON


Address: 1936 Sheridan Rd, Multicultural Center, Northwestern University, Evanston, IL 60208-0849
Phone: 8474913917

DR. TAMARA ANTIONETTE JOHNSON (NPI# 1619271533) 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) 1619271533
Entity Type Individual
Full Name DR. TAMARA ANTIONETTE JOHNSON
Credential PH.D.
Practice Address 1936 Sheridan Rd
Multicultural Center, Northwestern University
Evanston
IL 60208-0849
Practice Telephone 8474913917
Mailing Telephone 8474913917
Enumeration Date 2011-01-06
Last Update Date 2011-01-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

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Office Location

Street Address 1936 SHERIDAN RD
MULTICULTURAL CENTER, NORTHWESTERN UNIVERSITY
City EVANSTON
State IL
Zip Code 60208-0849

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437128089 Courtney Jones Specialist/Technologist 1501 Central St., Evanston, IL 60208 2006-03-16
1467456004 Bridget A Hannum Nurse Practitioner Northwestern University 633 Emerson, Evanston, IL 60208 2005-06-10
1891947727 Catherine Anne Fabian Audiologist 2315 Campus Dr, Evanston, IL 60208 2008-10-22
1417487471 Jack Scott Audiologist 2315 Campus Drive Nucasll, Evanston, IL 60208-0001 2017-06-13
1588038699 Robin Lynn Dodds Developmental Therapist Center for Audiology Speech Language And, Northwestern University 2315 Campus Drive, Evanston, IL 60208-0001 2015-12-01
1831565936 Natalie Morales Specialist/Technologist 2255 Campus Drive, Evanston, IL 60208-0001 2015-08-12
1750612115 Northwestern University Intercollegiate Sports Medicine Clinic/Center 2703 Ashland Ave, Northwestern University Sports Medicine, Evanston, IL 60208-0001 2010-01-26
1609927417 Kimberly A Seipel-carrow Pediatrics Northwestern University Health Services, 633 Emerson, Evanston, IL 60208-0001 2007-01-16
1114551793 Peter Ritz 2255 Campus Drive, Evanston, IL 60208-0001 2020-02-24
1912395336 Susan Taber Mulhern Speech-Language Pathologist 2315 Campus Dr, Evanston, IL 60208-0001 2015-01-07
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053429647 Dawn M Collins Psychologist 1033 University Pl Ste 330, Evanston, IL 60201-3156 2006-08-25
1316197791 Tari N Mack Psychologist 636 Church St, Suite 415, Evanston, IL 60201 2008-09-23
1255344628 Robert James Hartke Psychologist 636 Church St, Ste 617, Evanston, IL 60201-4586 2006-08-15

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NPI Name Taxonomy Address Enumeration
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1790392439 Julie Kopf Psychologist 1301 S Prospect Ave, Park Ridge, IL 60068-5344 2020-09-27
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Competitor

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City EVANSTON
Zip Code 60208

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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