MARY B JOHNSON (NPI# 1851846430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851846430 |
| Entity Type | Individual |
| Full Name | MARY B JOHNSON |
| Credential | PH.D |
| Practice Address |
2100 Goshen Rd Fort Wayne IN 46808-1493 |
| Mailing Address |
2621 E Jefferson St Warsaw IN 46580-3880 |
| Practice Telephone | 2604713500 |
| Practice Fax Number | 2604714263 |
| Mailing Telephone | 5742677169 |
| Mailing Fax Number | 5742694189 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953145 | Mary Ann Johnson | Technician | 165 Everett Dr, Gallipolis Ferry, WV 25515-7005 | 2020-08-21 |
| 1851938385 | Mary Johnson | Technician | 2917 W 19th Ave Trlr 79, Kennewick, WA 99337-2307 | 2019-12-03 |
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1033670807 | Mary Bernece Johnson | Registered Nurse | 5603 Mandalay, Killeen, TX 76549-4597 | 2019-03-26 |
| 1295205342 | Mary Elizabeth Johnson | Speech-Language Pathologist | 502 W Windsor Rd, Champaign, IL 61820-7739 | 2018-12-03 |
| 1255825758 | Mary Elizabeth Johnson | Dietitian, Registered | 3590 Lucille Dr Ste 2600, Cincinnati, OH 45213-2669 | 2018-06-18 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1841735289 | Mary Johnson | Registered Nurse | 14 Cypress Fairway Vlg, Wimberley, TX 78676-1974 | 2016-12-20 |
| 1467827220 | Mary Johnson | Registered Nurse | 308 Keelson Dr, Detroit, MI 48215-3058 | 2015-12-04 |
| 1003286055 | Mary Ann Johnson | Dentist | 320 Comanche St., Kiowa, CO 80117 | 2015-10-02 |
| Street Address |
2100 GOSHEN RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46808-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802887 | Shelly J Edwards | Marriage & Family Therapist | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2005-06-24 |
| 1144820192 | Nicholas Ray Brauchler | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-10-29 |
| 1063019610 | Markita R Powell | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-10-07 |
| 1922611458 | Chase Aaron Young | Social Worker | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-25 |
| 1962015404 | Zachary Brock | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-25 |
| 1356954887 | Ayomikun Ajani | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-25 |
| 1407467210 | Allyson Thammachack | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-14 |
| 1245841485 | Emily Meller | Social Worker | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-12 |
| 1598383457 | Jessica Mann | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-07-08 |
| 1669097762 | Zabrina Przybilla | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
| 1396142063 | Christina Ryder | Specialist/Technologist | 3946 Iceway, Fort Wayne, IN 46808 | 2014-11-25 |
| 1912090440 | Neighborcare of Indiana, LLC | Pharmacy | 3402 Congressional Pkwy, Ft. Wayne, IN 46808 | 2006-10-02 |
| 1619945888 | Beth Ann Herrell | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2006-03-14 |
| 1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
| 1750851168 | Tyler Cheney | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-28 |
| 1487123550 | Michaela Mcguire | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-19 |
| 1861961088 | Olivia Marquardt | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-16 |
| Find all providers in zip 46808 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457998007 | Ne Psychological LLC | Psychologist | 6343 Constitution Dr, Fort Wayne, IN 46804-1547 | 2019-12-03 |
| 1871032862 | Fort Wayne Neuropsychology LLC | Psychologist | 4306 E State Blvd, Fort Wayne, IN 46815-6915 | 2017-02-23 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| 1942555628 | Erin R. Bowman | Psychologist | 9910 Dupont Circle Dr E Ste 140, Fort Wayne, IN 46825-1618 | 2012-07-18 |
| 1548420474 | Marla J Souder | Psychologist | 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845-1714 | 2008-06-13 |
| 1891954665 | Rachel Mae Miller | Psychologist | 1300 Airport North Office Park, Fort Wayne, IN 46825-6716 | 2008-06-05 |
| 1265691257 | Cook Behavioral Health Clinic, PC | Psychologist | 7230 Engle Rd Ste 304, Fort Wayne, IN 46804-2209 | 2008-06-04 |
| 1114137080 | Candace Louise Martin | Psychologist | 6319 Constitution Dr, Fort Wayne, IN 46804-1547 | 2007-05-22 |
| 1134344823 | Mary E Locke Phd Hspp LLC | Psychologist | 7337 W Jefferson Blvd Ste 175, Fort Wayne, IN 46804-6286 | 2007-04-16 |
| 1891818126 | John F Newbauer | Psychologist | 10008 Saint Clairs Retreat, Fort Wayne, IN 46825-2025 | 2007-04-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46808 |
Please comment or provide details below to improve the information on MARY B JOHNSON.
| 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.