DR. WILLIAM R JOHNSON (NPI# 1760577092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760577092 |
Entity Type | Individual |
Full Name | DR. WILLIAM R JOHNSON |
Credential | PH.D. |
Practice Address |
1421 Lee Street Brunswick GA 31520 |
Practice Telephone | 9122650007 |
Practice Fax Number | 9122610593 |
Mailing Telephone | 9122650007 |
Mailing Fax Number | 9122610593 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY000541 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | AMERIGROUP | 10044538 | 01 |
GA | BLUE CROSS BLUE SHIELD | 52290777 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
1942719448 | William Johnson | Massage Therapist | 1800 Augusta Dr Ste 231, Houston, TX 77057-3131 | 2017-09-27 |
1063938629 | William Antwon Johnson | Behavioral Analyst | 1815 Forest Hill, . Lake Clark Shores, FL 33406 | 2017-08-16 |
1447774237 | William Joseph Johnson | Social Worker | 1204 Goodrich St, Lansing, MI 48910-1239 | 2017-08-02 |
1922547249 | William H Johnson | Social Worker | 8 Rimrock Rd, Belchertown, MA 01007-9657 | 2017-02-20 |
1528501137 | William Johnson | Licensed Practical Nurse | 271 Lyell Ave, Rochester, NY 14608-1339 | 2016-11-30 |
1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
1740647767 | William Patrick Johnson Jr. | Pharmacist | 505 Jeffrey Pine Ct, O Fallon, IL 62269-2554 | 2016-01-21 |
1144613324 | William Johnson Jr. | Counselor | 4014 Cypress Ct, Country Club Hills, IL 60478-5752 | 2015-03-11 |
1326479940 | William Johnson Sr. | Counselor | 1344 Cascade Falls Ct Sw, Atlanta, GA 30311-3671 | 2013-12-07 |
Street Address |
1421 LEE STREET |
City | BRUNSWICK |
State | GA |
Zip Code | 31520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235224882 | Diana L. Walther | Psychologist | 1421 Lee Street, Brunswick, GA 31520 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
Find all providers in zip 31520 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952942559 | Andrea J Medaris | Psychologist | 153 Park Row Ste 302, Brunswick, ME 04011-2053 | 2019-10-04 |
1548770332 | Amanda Seirup | Psychologist | 16 Lincoln St Ste C, Brunswick, ME 04011-1900 | 2017-10-05 |
1346601218 | Susanna Preziosi | Psychologist | 14 Maine St Ste 309, Brunswick, ME 04011-2033 | 2016-03-18 |
1083914881 | South Georgia Psychological Services PC | Psychologist | 104 Dunkirk Ln, Brunswick, GA 31523-6379 | 2010-10-26 |
1124296231 | Discovering Choices, Inc. | Psychologist | 51 Harpswell Rd, Suite 103, Brunswick, ME 04011-2549 | 2008-02-12 |
1629125273 | George Steffian | Psychologist | Fasotragrulant, Detachment Brunswick, 1801 Burbank Ave, Brunswick, ME 04011 | 2007-01-05 |
1316972797 | David C Bellows | Psychologist | 240 Maine St, Brunswick, ME 04011-3365 | 2006-07-12 |
1053391367 | Anita Laurette Goller | Psychologist | 6 Cumberland St, Brunswick, ME 04011-1904 | 2006-01-20 |
1790219921 | Michelle Kanga | Psychologist | 14 Maine St, Suite 309, Brunswick, ME 04011-2049 | 2017-04-14 |
1700320397 | Erin Sheets | Psychologist | 14 Maine St Ste 309, Brunswick, ME 04011-2052 | 2016-12-15 |
Find all providers in BRUNSWICK |
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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.