DR. FENIMORE JOHNSON (NPI# 1720038359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720038359 |
| Entity Type | Individual |
| Full Name | DR. FENIMORE JOHNSON |
| Credential | PHD |
| Practice Address |
4328 W Michigan Ave Kalamazoo MI 49006-5823 |
| Practice Telephone | 2693752222 |
| Practice Fax Number | 2693756078 |
| Mailing Telephone | 2693752222 |
| Mailing Fax Number | 2693756078 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301001560 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHP | 6130469 | 01 |
| MI | BCBSM | 0C96409 | 01 |
| Street Address |
4328 W MICHIGAN AVE |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49006-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831148659 | Morris David Edwards | Psychologist | 4328 W Michigan Ave, Kalamazoo, MI 49006-5823 | 2006-05-09 |
| 1164910071 | Katelyn Marie Briggs | Psychologist | 4328 W Michigan Ave, Kalamazoo, MI 49006-5823 | 2018-04-26 |
| 1598050692 | Brighid Helene Fronapfel | Behavioral Analyst | 4328 W Michigan Ave, Kalamazoo, MI 49006-5823 | 2011-06-16 |
| 1346571700 | Helene Marie Pilnick | Clinical Neuropsychologist | 4328 W Michigan Ave, Kalamazoo, MI 49006-5823 | 2010-01-26 |
| 1790916427 | Jolynn Cole | Psychologist | 4328 W Michigan Ave, Kalamazoo, MI 49006-5823 | 2009-07-29 |
| 1386847739 | Jane Caroline Higgins | Psychologist | 4328 W Michigan Ave, Kalamazoo, MI 49006-5823 | 2007-06-05 |
| 1497899868 | Larry David Irey | Psychologist | 4328 W Michigan Ave, Kalamazoo, MI 49006-5823 | 2007-02-17 |
| 1902816234 | Michael Carey Lyons | Psychologist | 4328 W Michigan Ave, Kalamazoo, MI 49006-5823 | 2006-08-09 |
| 1780634758 | Alan G Lewandowski | Clinical Neuropsychologist | 4328 W Michigan Ave, Kalamazoo, MI 49006-5823 | 2006-05-11 |
| 1447209051 | Neuropsychology Associates Plc | Clinical Neuropsychologist | 4328 W Michigan Ave, Kalamazoo, MI 49006-5823 | 2006-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| 1588055768 | Rashida Al-gharib | Counselor | 10107 Boswell Lane, Kalamazoo, MI 49006 | 2015-02-10 |
| 1174913420 | Teesha Lynn Bancroft | Specialist | 329 S Sage St, Kalamazoo, MI 49006 | 2015-01-26 |
| 1801293493 | Ayaz Jaffer | Pharmacist | 5100 Century Avenue, Kalamazoo, MI 49006 | 2014-11-25 |
| 1609207695 | Karen Irene Zantjer | Occupational Therapist | 2575 N Drake, Tendercare Westwood, Kalamazoo, MI 49006 | 2013-12-02 |
| 1629313614 | Jessica Korneder | Behavioral Analyst | 3621 Kenbrooke Court, Kalamazoo, MI 49006 | 2012-12-03 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1932356979 | Joy Ann Mcgrath | Occupational Therapist | 1400 North Drake Road, Friendship Village of Kalamazoo, Kalamazoo, MI 49006 | 2008-08-21 |
| 1306901103 | Frederick G Greaves | Psychologist | 4031 W Main, Kalamazoo, MI 49006 | 2006-12-22 |
| 1629162300 | John F Hemmer | Social Worker | 1530 Nichols Road, Kalamazoo, MI 49006 | 2006-10-03 |
| Find all providers in zip 49006 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700340817 | Millicent Marie Perkins | Psychologist | 9177 W R Ave, Kalamazoo, MI 49009-9740 | 2019-01-23 |
| 1437644945 | Christopher Andre' Briggs | Psychologist | 5182 N Peak St, Kalamazoo, MI 49004-2149 | 2018-06-27 |
| 1922468123 | Margaret Hunter | Psychologist | 2524 Lomond Dr, Kalamazoo, MI 49008-2126 | 2016-03-01 |
| 1972902856 | Craig Crawford | Psychologist | 8566 Old Stone Cir, Kalamazoo, MI 49009-4535 | 2014-08-18 |
| 1497188049 | Erica Christoff | Psychologist | 4341 S Westnedge Ave Ste 1201, Kalamazoo, MI 49008-3284 | 2013-08-19 |
| 1265776629 | Julie Meredith Davis | Psychologist | 5985 W Main St Ste 101, Kalamazoo, MI 49009 | 2012-11-23 |
| 1033498993 | Laurie L. Assadi | Psychologist | 4341 South Westnedge, Suite 2101, Kalamazoo, MI 49008-3286 | 2011-08-10 |
| 1538322771 | Alan Hill | Psychologist | 2416 Benton Avenue, Kalamazoo, MI 49008 | 2008-07-08 |
| 1912174715 | Thomas Ray Holmes | Psychologist | 2923 Memory Ln, Kalamazoo, MI 49006-5534 | 2008-05-12 |
| 1922278290 | Charles T. Glatt | Psychologist | 3040 Wellington Rd, Kalamazoo, MI 49008-2141 | 2008-03-03 |
| Find all providers in KALAMAZOO | ||||
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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.