DR. SCOTT LOUCKS JOHNSTON (NPI# 1235128570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235128570 |
| Entity Type | Individual |
| Full Name | DR. SCOTT LOUCKS JOHNSTON |
| Credential | PHD |
| Practice Address |
480 Central Ave Pearl Harbor HI 96860-4908 |
| Mailing Address |
725 Kapiolani Blvd Apt #3002 Honolulu HI 96813-6012 |
| Practice Telephone | 8084731880 |
| Practice Fax Number | 8084732144 |
| Mailing Telephone | 8084731880 |
| Mailing Fax Number | 8084732144 |
| Enumeration Date | 2005-10-19 |
| 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 |
795 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255351110 | Scott Richard Johnston | Pain Medicine | 250 Huff Dr, Jacksonville, NC 28546-7369 | 2006-07-20 |
| 1912990458 | Scott L Johnston | Family Medicine | 801 E 4th St Ste 20, Gillette, WY 82716-4061 | 2005-08-30 |
| 1841642055 | Scott Neil Johnston | Registered Nurse | 1155 Mill St, Reno, NV 89502-1576 | 2016-07-12 |
| 1083892277 | Scott Johnston | Massage Therapist | 4150 Darley Ave, Suite 6, Boulder, CO 80305-6557 | 2008-02-10 |
| 1982660932 | Scott Hamilton Johnston | Psychologist | 154 Waterman St, 3rd Floor Suite, Providence, RI 02906-3116 | 2006-04-26 |
| Street Address |
480 CENTRAL AVE |
| City | PEARL HARBOR |
| State | HI |
| Zip Code | 96860-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311930 | Branch Medical Clinic Naval Shipyard Pearl Harbor | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-09-16 |
| 1144841842 | Sue Ellen Alden-rudin | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-05-04 |
| 1982244489 | Lindsey Serapion-peralta | Dental Hygienist | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-01-13 |
| 1609429364 | Michelle Marie Pallera Lobaton | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2019-07-22 |
| 1548720451 | Kimi Jo Nelson | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2019-03-25 |
| 1841761525 | Heather Nycole Matz | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-12-06 |
| 1184192494 | Edwin Ernest Stumpf II | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-11-05 |
| 1902380413 | Lystra Irene Braumuller | Case Manager/Care Coordinator | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-09-20 |
| 1942783121 | Jennifer Yadao | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-09-13 |
| 1750860318 | Genine Marie Gorman | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075970 | April Box | Registered Nurse | Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 | 2018-06-04 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1982057816 | John Alois Kustermann | Family Medicine | 490 Central Avenue Bldg 281, Honolulu Military Entrance Processing Station, Pearl Harbor, HI 96860 | 2016-07-15 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| 1790056620 | Lesley Brooke Dorsey | Physician Assistant | 408 Central Ave, Jbphh, HI 96860 | 2012-01-24 |
| 1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
| 1275860603 | Michael J. Rodriguez | Military Health Care Provider | 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 | 2009-11-05 |
| Find all providers in zip 96860 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538326467 | Melissa N Green | Psychologist | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2008-05-19 |
| 1366412108 | Geoffrey Chung | Psychologist | 480 Central Ave, Navy Health Clinic Hawaii, Pearl Harbor, HI 96860-4908 | 2006-01-24 |
| 1669462396 | Thomas Jay Evans | Psychologist | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319008 | Rachel Huxel | Psychologist | 1821 Keeaumoku St Apt 201, Honolulu, HI 96822-3005 | 2020-09-04 |
| 1386256626 | Gabriela Cretu Cretu | Psychologist | 3820 Pukalani Pl, Honolulu, HI 96816-3816 | 2020-08-18 |
| 1811512635 | Waves of Insight, LLC | Psychologist | 98-402 Koauka Loop Apt 1404, Aiea, HI 96701-4573 | 2020-06-09 |
| 1710511100 | Lighthouse Therapy & Diagnostic Services | Psychologist | 2509 Kolo Road, Kilauea, HI 96754 | 2020-02-25 |
| 1811546435 | Tami Babino | Psychologist | 95-1249 Meheula Pkwy Ste 195, Mililani, HI 96789-1791 | 2019-09-06 |
| 1477119899 | Patrick Akira Jichaku | Psychologist | 58-129 Wehiwa Way, Haleiwa, HI 96712-9757 | 2019-05-10 |
| 1427513563 | Hannah Im | Psychologist | 377 Keahole St Ste 210, Honolulu, HI 96825-3405 | 2019-02-03 |
| 1427521897 | Amithea Love | Psychologist | 2037 Puu Kaa St, Kapaa, HI 96746-2339 | 2019-01-08 |
| 1699244509 | Jon Joseph Cisneros | Psychologist | 333 Sixth St, Lanai City, HI 96763 | 2018-11-20 |
| 1447729629 | Caitlin J. Tyrrell | Psychologist | 47-668 Hui Kelu St Apt 5, Kaneohe, HI 96744-4626 | 2018-11-17 |
| Find all providers with the same taxonomy | ||||
| City | PEARL HARBOR |
| Zip Code | 96860 |
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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.