DR. JOHN ROMIG JOHNSON, PH.D. - NPI NUMBER 1629390034

Summary

Provider Name: DR. JOHN ROMIG JOHNSON, PH.D.

NPI Number: 1629390034

Clasification: Psychoanalyst (102L00000X)

Address:
1020 TYRON CIR
CHARLESTON, SC
ZIP 29414

Phone Number: (843) 766-0160



Detailed Information

DR. John Romig Johnson, PH.D. is a psychoanalyst in Charleston, SC. The provider is psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst�s training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation. The assigned NPI number for this provider is 1629390034 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

1020 TYRON CIR
CHARLESTON, SC
ZIP 29414-090
Phone: (843) 766-0160

The enumeration date for this NPI number is 2/26/2010 and was last updated on 2/26/2010.

Map - Location of Practice





Taxonomy Codes

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 102L00000X Psychoanalyst Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 P80531 OTHER SC NAAP
2 621 OTHER SC AAPC
3 609 OTHER SC IAAP

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1629390034 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name JOHNSON The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name JOHN The first name of the provider, if the provider is an individual.
5 Provider Middle Name ROMIG The middle name of the provider, if the provider is an individual.
6 Provider Name Prefix Text DR. The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
7 Provider Credential Text PH.D. The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
8 Provider First Line Business Practice Location Address 1020 TYRON CIR The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name CHARLESTON The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name SC The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 294149090 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 8437660160 The telephone number associated with the location address of the provider being identified.
14 Provider Enumeration Date 2/26/2010 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 2/26/2010 The date that a record was last updated or changed.
16 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
17 Healthcare Provider Taxonomy Code 1 102L00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Other Provider Identifier 1 P80531 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
20 Other Provider Identifier Type Code 1 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
21 Other Provider Identifier State 1 SC
22 Other Provider Identifier Issuer 1 NAAP
23 Other Provider Identifier 2 621 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier Type Code 2 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier State 2 SC
26 Other Provider Identifier Issuer 2 AAPC
27 Other Provider Identifier 3 609 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier Type Code 3 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier State 3 SC
30 Other Provider Identifier Issuer 3 IAAP
31 Is Sole Proprietor Y Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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