CHARLES JOHNSON (NPI# 1225078066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225078066 |
| Entity Type | Individual |
| Full Name | CHARLES JOHNSON |
| Credential | PHD |
| Practice Address |
1401 S 4th St Phila PA 19147-5907 |
| Mailing Address |
432 N 6th St Phila PA 19123-4004 |
| Practice Telephone | 2153391079 |
| Mailing Telephone | 2159252400 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS003915 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689293995 | Charles Johnson | Student in an Organized Health Care Education/Training Program | 1322 N Rutherford Blvd Apt I51, Murfreesboro, TN 37130-8430 | 2020-04-16 |
| 1518522796 | Charles Lee Johnson Sr. | Technician | 2010 Parkhill Dr, Dayton, OH 45406-2716 | 2019-05-03 |
| 1528591724 | Charles Johnson | Counselor | 512 Sapphire St, Opelousas, LA 70570-3536 | 2017-04-05 |
| 1265976047 | Charles Johnson | Counselor | 1320 Harvard Ave, Shreveport, LA 71103-2521 | 2016-12-13 |
| 1831560390 | Charles James Johnson | Pharmacist | 300 W. 4th Street, Dequincy, LA 70633-3404 | 2015-10-09 |
| 1437538410 | Charles David Johnson | Nurse Practitioner | 417 Fruitland Park Rd, Wiggins, MS 39577-8312 | 2015-05-24 |
| 1598006827 | Charles Dustin Johnson | Counselor | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2013-03-12 |
| 1932444924 | Charles William Johnson | Family Medicine | 106 Ne Wood Glen Ln, Lees Summit, MO 64064-1508 | 2012-12-03 |
| 1063744571 | Charles Miller Johnson Jr. | Licensed Practical Nurse | 1020 Robinson Ave Apt 2, San Diego, CA 92103-4473 | 2010-02-08 |
| 1235333147 | Charles Johnson | Physical Therapy Assistant | 2104 Four Winds Dr, Cedar Falls, IA 50613-6435 | 2007-06-13 |
| Street Address |
1401 S 4TH ST |
| City | PHILA |
| State | PA |
| Zip Code | 19147-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225084411 | Michel Bien-aime | Psychiatry & Neurology | 1401 S 4th St, 4th Floor, Phila, PA 19147-5948 | 2006-05-26 |
| 1689614422 | Maggie Lyons-johnson | Counselor | 1401 S 4th St, Phila, PA 19147-5907 | 2006-06-08 |
| 1679529762 | Diane Lackey | Social Worker | 1401 S 4th St, Phila, PA 19147-5907 | 2006-05-26 |
| 1487600789 | George Timbers | Social Worker | 1401 S 4th St, Phila, PA 19147-5907 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306919170 | Barry L. Kayes | Psychologist | 8040 Roosevelt Boulevard, Suite 217, Phila, PA 19152-2902 | 2006-11-17 |
| 1093807794 | Judith Sanders | Psychologist | 1500 Locust St, 2806, Phila, PA 19102 | 2006-09-29 |
| 1457601155 | Krista Mancarella | Psychologist | 5301 Ridge Ave, Phila, PA 19128-3757 | 2012-09-11 |
| 1932341658 | Erika Kawamura | Psychologist | 4200 Monument Road, Belmont Center, Phila, PA 19131 | 2009-03-26 |
| 1629257746 | Krystal Renee Stober | Psychologist | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2007-10-25 |
| 1538386941 | Jilla Carpey | Psychologist | 5501 Old York Rd, Phila, PA 19141-3018 | 2007-04-19 |
| 1174640718 | Ruth E Kanost | Psychologist | 112 N Broad St, Phila, PA 19102-1510 | 2007-03-26 |
| 1952459471 | Jay Louis Segal | Psychologist | 1601 Walnut St, Ste. 1128, Phila, PA 19102-2944 | 2007-01-08 |
| 1144309212 | Anita T Laver | Psychologist | 255 S 17th St, Suite 2601, Phila, PA 19103 | 2006-11-02 |
| 1942219043 | Fred Brian Chase | Psychologist | 135 S 19th St, Suite 240, Phila, PA 19103-4912 | 2006-08-07 |
| Find all providers in PHILA | ||||
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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.