DR. CHAD VERNON JOHNSON (NPI# 1962648311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962648311 |
| Entity Type | Individual |
| Full Name | DR. CHAD VERNON JOHNSON |
| Credential | PHD |
| Practice Address |
1927 S Boston Ave #204 Tulsa OK 74119-5259 |
| Mailing Address |
4502 E 41st St Schusterman Center Tulsa OK 74135-9923 |
| Practice Telephone | 9184066763 |
| Mailing Telephone | 9184066763 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1070 | OK | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
1070 | OK | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
1070 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871881052 | Chad J Johnson | Family Medicine | 738 N. College Rd., Suite A, Twin Falls, ID 83301 | 2011-07-21 |
| 1861554792 | Chad Allan Johnson | Chiropractor | 112 E Lincoln St, Augusta, WI 54722-9234 | 2006-12-15 |
| 1689774051 | Chad E Johnson | Dentist | 2335 Knob Creek Road, Suite 107, Johnson City, TN 37604 | 2006-09-25 |
| 1164085403 | Chad Reed Johnson | Pharmacist | 98 N 1100 E Ste 101, American Fork, UT 84003-2940 | 2019-04-22 |
| 1770023137 | Chad Johnson | Clinical Exercise Physiologist | 1700 W Stout St, Rice Lake, WI 54868 | 2017-03-06 |
| 1558736751 | Chad Parker Johnson | Clinical Neuropsychologist | 1250 E Marshall St, Child Neurology, Richmond, VA 23298-5051 | 2015-12-14 |
| 1619233640 | Chad Lane Johnson | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5199 | 2012-04-04 |
| 1902190887 | Chad Edward Johnson | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2011-06-08 |
| 1265723779 | Chad Yancy Johnson | Audiologist | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2011-05-02 |
| 1922321710 | Chad Thomas Johnson | Chiropractor | 15 E Central Ave, Suite 3, Spokane, WA 99208-1109 | 2010-03-08 |
| Street Address |
1927 S BOSTON AVE #204 |
| City | TULSA |
| State | OK |
| Zip Code | 74119-5259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518413848 | Rashawnda Eshelle Broom | Community Health Worker | 1870 S. Boulder, Tulsa, OK 74119 | 2016-08-28 |
| 1740736115 | Kendrea Zellers | Counselor | 1516 South Boston Ave, Tulsa, OK 74119 | 2016-08-26 |
| 1528410297 | Andrea Cheree Walker | Counselor | 1541 Riverside Drive, Tulsa, OK 74119 | 2016-07-06 |
| 1851712459 | Bennett William Mcralip Jr. | Student in an Organized Health Care Education/Training Program | 1729 S. Baltimore Ave, Tulsa, OK 74119 | 2013-12-27 |
| 1932459302 | Isaac James Almaguer | Marriage & Family Therapist | 1516 S. Boston Ave, Suite 1, Tulsa, OK 74119 | 2012-09-13 |
| 1962721266 | Kimberly Dawn See | Counselor | 1516 South Boston Avenue, Tulsa, OK 74119 | 2010-05-26 |
| 1487879136 | G.thang Khan Kham | Counselor | 616 S.boston Suite #400, Tulsa, OK 74119 | 2007-04-16 |
| 1114447117 | Alyssa Orcutt | Counselor | 1870 S Boulder Ave, Tulsa, OK 74119 | 2017-06-21 |
| 1497152615 | Kristine Anne Runfola | Social Worker | 1608 S Elwood Ave, Tulsa, OK 74119 | 2014-12-03 |
| 1124445028 | Lauren Priester | Counselor | 1421 S Boston Ave, Tulsa, OK 74119 | 2014-03-28 |
| Find all providers in zip 74119 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861839367 | Candace Dawn Marzett | Psychologist | 2213 N Zenith Ave, Tulsa, OK 74127-2234 | 2013-05-24 |
| 1790963288 | Susan M Linde | Psychologist | 4812 E 81st St, Ste 303, Tulsa, OK 74137-1916 | 2008-02-06 |
| 1548391295 | Duie R Jernigan | Psychologist | 1831 E 71st St, Suite 122, Tulsa, OK 74136-3922 | 2007-03-07 |
| 1972698785 | Patrick Alan Newman | Psychologist | 1521 S Carson Ave, Tulsa, OK 74119-3819 | 2006-10-04 |
| 1295749893 | Mary Parker | Psychologist | 3223 E 31st St, Suite 201, Tulsa, OK 74105-2444 | 2006-07-28 |
| 1376511964 | Randall Wayne Jarman | Psychologist | 5525 E 51st St, Suite #400, Tulsa, OK 74135-7461 | 2006-03-09 |
| 1851876924 | Parker T Shaw | Psychologist | 7146 S Braden Ave Ste 500, Tulsa, OK 74136-6376 | 2018-09-25 |
| 1093118408 | Psychological Services of Tulsa, LLC | Psychologist | 7020 S Yale Ave, Suite 220, Tulsa, OK 74136-5715 | 2014-09-29 |
| 1912166414 | Lucille Rebecca Baptiste | Psychologist | 4720 S Harvard Ave, Ste 207, Tulsa, OK 74135-3048 | 2008-06-09 |
| 1578766614 | Melinda Faye Labbe | Psychologist | 7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743 | 2007-06-07 |
| Find all providers in TULSA | ||||
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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.