Gregory Samuel Johnson (NPI# 1558732586, PAC ID# 8628326774) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1558732586 |
| PAC ID by PECOS | 8628326774 |
| Professional Enrollment ID | I20180806001420 |
| Full Name | Gregory Samuel Johnson |
| Organization Legal Name | TEAM MENTAL HEALTH SERVICES INC |
| Address |
2925 Russell St Detroit MI 48207-4825 |
| Phone Number | 3133965300 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2264451830 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2925 Russell St, Detroit, MI 48207-4825 | 3133965300 | TEAM MENTAL HEALTH SERVICES INC |
| Organization Legal Name | TEAM MENTAL HEALTH SERVICES INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Osamuedemen Iyoha | Psychiatry | Team Mental Health Services Inc | 6309 Mack Ave, Detroit, MI 48207-2302 |
| Jonnika Williams | Nurse Practitioner | Team Mental Health Services Inc | 3646 Mount Elliott St, Team Wellness Center, Detroit, MI 48207-2311 |
| Cheryl A Slaight | Clinical Social Worker | Team Mental Health Services Inc | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 |
| Tanya Delene Mccauley | Nurse Practitioner | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Evelyn E Martin | Clinical Social Worker | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Bushra Y Alsafari | Clinical Social Worker | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Darlene Jones | Clinical Social Worker | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Jeannine K Peck | Clinical Social Worker | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Mary Elizabeth Boayue | Physician Assistant | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Dorothy P Robinson | Clinical Social Worker | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Street Address |
2925 RUSSELL ST |
| City | DETROIT |
| State | MI |
| Zip | 48207-4825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya Delene Mccauley | Nurse Practitioner | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Evelyn E Martin | Clinical Social Worker | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Bushra Y Alsafari | Clinical Social Worker | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Darlene Jones | Clinical Social Worker | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Jeannine K Peck | Clinical Social Worker | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Mary Elizabeth Boayue | Physician Assistant | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Dorothy P Robinson | Clinical Social Worker | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Bruce K Miller | Internal Medicine | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Cecilia M Oconnor | Nurse Practitioner | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Shontori S Bowles | Clinical Social Worker | Team Mental Health Services Inc | 2925 Russell St, Detroit, MI 48207-4825 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Temitope O Olagbaiye | Nurse Practitioner | Professional Medical Center PC | 3956 Mount Elliott St, Detroit, MI 48207-1841 |
| George Edward Evans | General Practice | Professional Medical Center PC | 3956 Mount Elliott St, Detroit, MI 48207-1841 |
| Christina L Clark | Family Medicine | Alsan Medical Clinic PC | 3130 Gratiot Ave, Detroit, MI 48207-2283 |
| Frank M Clark | Family Medicine | Alsan Medical Clinic PC | 3130 Gratiot Ave, Detroit, MI 48207-2283 |
| Bernard Alper | Family Practice | Alsan Medical Clinic P.C. | 3130 Gratiot Ave, Detroit, MI 48207-2283 |
| Osamuedemen Iyoha | Psychiatry | Team Mental Health Services Inc | 6309 Mack Ave, Detroit, MI 48207-2302 |
| Jonnika Williams | Nurse Practitioner | Team Mental Health Services Inc | 3646 Mount Elliott St, Team Wellness Center, Detroit, MI 48207-2311 |
| Anwar J El-khatib | Physician Assistant | Team Mental Health Services Inc | 3646 Mount Elliott St, Team Wellness Center, Detroit, MI 48207-2311 |
| Yongyuth Senlamai | Internal Medicine | 3413 Mcdougall St, Detroit, MI 48207-2458 | |
| Denwit Sumetanon | Internal Medicine | 3413 Mcdougall St, Detroit, MI 48207-2458 | |
| Find all physicians in zip 48207 | |||
| City | DETROIT |
| Zip Code | 48207 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | DETROIT + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Gregory Samuel Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.