1083335756 NPI number — MR. JOHN T JUNKER PSY.D., M.A.

Table of content: MR. JOHN T JUNKER PSY.D., M.A. (NPI 1083335756)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083335756 NPI number — MR. JOHN T JUNKER PSY.D., M.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JUNKER
Provider First Name:
JOHN
Provider Middle Name:
T
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PSY.D., M.A.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083335756
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PSC 808 BOX 2616
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FPO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
09618-0027
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-629-6309
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
NMRTC NAPLES
Provider Second Line Business Practice Location Address:
OSPEDALE MARINA USA VIA CONTRADA BOSCARIELLO
Provider Business Practice Location Address City Name:
GRICIGNANO DI AVERSA
Provider Business Practice Location Address State Name:
CE
Provider Business Practice Location Address Postal Code:
81030
Provider Business Practice Location Address Country Code:
IT
Provider Business Practice Location Address Telephone Number:
314-629-6306
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/09/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 0810008589 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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