DR. FREDERICK VINCENT JOHNSON (NPI# 1003893900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003893900 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK VINCENT JOHNSON |
| Credential | PSY.D. |
| Practice Address |
68 N Main St Carver MA 02330-1128 |
| Practice Telephone | 5088665000 |
| Mailing Telephone | 5088665000 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6678 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MA. LIC. HEALTH CARE PROV | 859839 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164794202 | Frederick Farman Johnson IIi | Contractor | 334 Ne Irving Avenue, Portland, OR 97702 | 2012-02-06 |
| 1619143914 | Frederick Dwayne Johnson Jr. | Radiology | 5 Woods Cv, Little Rock, AR 72210-9108 | 2008-05-06 |
| 1003985524 | Frederick Stephen Johnson | Dentist | 221 W Penn Ave, Ste 213, Cleona, PA 17042 | 2006-11-07 |
| 1982182960 | Frederick Johnson Iv | Behavior Technician | 10340 Democracy Ln # 102b103, Fairfax, VA 22030-2518 | 2018-08-01 |
| 1295234318 | Frederick Leon Johnson Jr. | Counselor | 1278 W Us Highway 40, Odessa, MO 64076-9612 | 2018-02-04 |
| 1760723159 | Frederick L Johnson | Physical Therapy Assistant | 1205 Sw 29th St, Topeka, KS 66611-1203 | 2013-03-08 |
| 1619174406 | Frederick O Johnson | Dentist | 225 Front St, Binghamton, NY 13905-2424 | 2007-06-27 |
| 1104983360 | Frederick L Johnson | Anesthesiology | 987 Parallel Dr, Lakeport, CA 95453-5702 | 2007-01-03 |
| 1740375971 | Frederick W Johnson | Surgery | 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2765 | 2006-10-04 |
| 1376555268 | Frederick G. Johnson | Pediatrics | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2006-08-12 |
| Street Address |
68 N MAIN ST |
| City | CARVER |
| State | MA |
| Zip Code | 02330-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966472 | David P Gannon Jr. | Anesthesiology | 68 N Main St, Carver, MA 02330-1128 | 2005-07-21 |
| 1659509164 | East Pond Enterprises Inc | Clinic/Center | 68 N Main St, Carver, MA 02330 | 2009-06-24 |
| 1073566410 | Cape Cod Pain Management, PC | Anesthesiology | 68 N Main St, Carver, MA 02330 | 2006-05-18 |
| 1447203500 | Jordan Hospital Anesthesia Associates, PC | Pain Medicine | 68 N Main St, Carver, MA 02330-1128 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528261401 | Samantha L Faherty | Social Worker | 16 Harvest View Way, Carver, MA 02330 | 2007-06-07 |
| 1518009075 | Arnold Stuart Winn | Chiropractor | 96 N Main Street, Carver, MA 02330 | 2007-02-13 |
| 1558384818 | Leonid Y Spivak | Dentist | 1a Fuller Street, Carver, MA 02330 | 2006-07-26 |
| 1659450039 | Irwin A Lakin | Dentist | 9 North Main St, Carver, MA 02330 | 2006-11-04 |
| 1952689069 | Piecing The Puzzle | Community/Behavioral Health | 1 Hardhill Rd, Carver, MA 02330-1003 | 2011-07-25 |
| 1396105938 | Amy Fuller | Behavioral Analyst | 140 High St, Carver, MA 02330-1016 | 2016-02-24 |
| 1962576207 | John C. Breen | Specialist | 160 N Main St, Carver, MA 02330-1027 | 2006-11-20 |
| 1427657840 | Emily Soeder | Physical Therapist | 160 N Main St, Carver, MA 02330-1027 | 2020-10-19 |
| 1033342977 | Lauren Ruff | Physical Therapist | 160 N Main St, Carver, MA 02330-1027 | 2009-08-26 |
| 1073798765 | Back To Health Therapy | Chiropractor | 96 N Main St, Carver, MA 02330-1028 | 2008-01-01 |
| Find all providers in zip 02330 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669555884 | Linda Ann Garrone | Psychologist | 38 Fosdick Rd, Carver, MA 02330-1322 | 2006-10-23 |
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| 1235746934 | Alexandra R Nelson Phd | Psychologist | 46 Gerald Rd, Milton, MA 02186-4769 | 2020-09-26 |
| 1396359154 | Theresa Mary Brasier | Psychologist | 25 Birch St Ste A, Milford, MA 01757-3585 | 2020-08-31 |
| 1154934685 | David S Sugarbaker | Psychologist | 1015 Brook Rd, Milton, MA 02186-4114 | 2020-08-25 |
| 1114537131 | Annemarie Baldauf, Psyd, Pllc | Psychologist | 49 Hancock St Ste 104, Cambridge, MA 02139-3188 | 2020-08-04 |
| 1801406103 | Barbara Kellogg Gannon | Psychologist | 30 Western Ave Ste 209, Gloucester, MA 01930-3664 | 2020-08-03 |
| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1487271664 | Thoughtful Psychiatry, P.C. | Psychologist | 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 | 2020-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.