JOHNSON-ALLEN PSYCHIATRY LLC NPI 1487222006

NPI Information

NPI: 1487222006
Provider Name: JOHNSON-ALLEN PSYCHIATRY LLC

Former Legal Business Name: JOHNSON-ALLE PSYCHIATRY

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
615 WEST JOHNSON AVE
SUITE 202
CHESHIRE, CT
ZIP 06410
Phone: (860) 384-4660
Get Directions

JOHNSON-ALLEN PSYCHIATRY LLC is a psychiatric/mental health nurse practitioner in Cheshire, CT. JOHNSON-ALLEN PSYCHIATRY LLC NPI is 1487222006. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Johnson-alle Psychiatry.

The provider's business location address is:

615 WEST JOHNSON AVE
SUITE 202
CHESHIRE, CT
ZIP 06410-532
Phone: (860) 384-4660

The provider's authorized official is Deon Johnson-allen .
The authorized official title is Owner and has the following contact phone number (860) 384-4660.

The enumeration date for this NPI number is 6/11/2021 and was last updated on 1/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1124592274	MEDICAID	CONNECTICUT
2	1487222006	MEDICAID	CONNECTICUT
3	008084985	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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