1629253802 NPI number — DR. KIMBERLY E JOHNSON PSYD, HSPP, APIT

Table of content: DR. KIMBERLY E JOHNSON PSYD, HSPP, APIT (NPI 1629253802)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629253802 NPI number — DR. KIMBERLY E JOHNSON PSYD, HSPP, APIT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOHNSON
Provider First Name:
KIMBERLY
Provider Middle Name:
E
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSYD, HSPP, APIT
Provider Gender Code:
F

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:
1629253802
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10761 CHESAPEAKE DR N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46236-8964
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-260-8928
Provider Business Mailing Address Fax Number:
317-293-1241

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10761 CHESAPEAKE DR N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46236-8964
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-748-4520
Provider Business Practice Location Address Fax Number:
317-293-1241
Provider Enumeration Date:
01/07/2008

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: 103TC0700X , with the licence number:  20042216A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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