DR. CLARK WOODROW JOHNSON (NPI# 1487706099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487706099 |
| Entity Type | Individual |
| Full Name | DR. CLARK WOODROW JOHNSON |
| Credential | M.D. |
| Practice Address |
1208 E 3300 S Salt Lake City UT 84106-2522 |
| Practice Telephone | 8012905320 |
| Practice Fax Number | 8012905321 |
| Mailing Telephone | 8012905320 |
| Mailing Fax Number | 8012905321 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2011-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
7821510-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD 29092 | OR | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD 60082250 | WA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
241524 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518225929 | Clark A Johnson | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2012-04-24 |
| 1407124910 | Clark Johnson | Physical Therapist | 2789 Brooks Range, Prescott, AZ 86301-7636 | 2011-12-12 |
| 1497989305 | Clark Timothy Johnson | Obstetrics & Gynecology | 600 N Wolfe Street Phipps 279, Baltimore, MD 21287-0001 | 2009-05-06 |
| 1801185764 | Clark Johnson | Rehabilitation Practitioner | 6055 E Washington Blvd, Suite 900, Commerce, CA 90040-2449 | 2011-03-31 |
| 1841527033 | Clark Michael Johnson | Chiropractor | 1221 Alhambra Blvd, Suite 105, Sacramento, CA 95816-5237 | 2009-11-09 |
| 1528239399 | Clark Lewis Johnson | Marriage & Family Therapist | 222 West St, Suite 29f, Keene, NH 03431-2455 | 2008-03-19 |
| 1720278310 | Clark Mitchell Johnson | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2007-07-30 |
| 1548220700 | Clark Peter Johnson | Podiatrist | 213 North Ave, Battle Creek, MI 49017-3430 | 2006-03-23 |
| Street Address |
1208 E 3300 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700836996 | Jeff Croft Kocherhans | Psychologist | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2006-05-11 |
| 1942822770 | Amy Olsen Davis | Counselor | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2020-05-14 |
| 1396377917 | Laura Renay Russell | Counselor | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2020-02-11 |
| 1841857315 | Steven Niel Nickolaisen | Psychologist | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2019-05-21 |
| 1073090379 | Julia Kronholz | Psychologist | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2018-07-19 |
| 1376032672 | Symbiosis Counseling | Clinic/Center | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2018-05-02 |
| 1700245065 | Lauren P. Greenberg | Psychologist | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2016-02-15 |
| 1477805372 | Leeanne Merin Hess | Social Worker | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2012-10-03 |
| 1639432750 | Aline Devaud | Social Worker | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2012-06-22 |
| 1902035892 | Linda Ryver Hackett | Counselor | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2009-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811549637 | Nume Tms Utah, Pllc | Psychiatry & Neurology | 560 S 300 E Ste 115, Salt Lake City, UT 84111-3562 | 2019-07-11 |
| 1497288351 | Tyler Durns | Psychiatry & Neurology | 50 N Medical Dr Salt Lake City, Salt Lake City, UT 84132-0001 | 2017-04-07 |
| 1457705279 | Heather Wark | Psychiatry & Neurology | 3313 E Coronet Dr, Salt Lake City, UT 84124-3102 | 2016-04-18 |
| 1114311255 | Shane Verhoef | Psychiatry & Neurology | 500 Foothill Dr Bldg 16, Salt Lake City, UT 84148-1023 | 2015-03-26 |
| 1376947051 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 30 N 1900 E Ste 1b620, Salt Lake City, UT 84132-0002 | 2014-10-09 |
| 1700120334 | R. Duncan Wallace, M.d., P.C. | Psychiatry & Neurology | 2972 S Devonshire Cir, Salt Lake City, UT 84108-2526 | 2012-11-20 |
| 1336407790 | Anthony Michael Petersen | Psychiatry & Neurology | University of Utah Psychiatry Department, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2012-04-24 |
| 1982971826 | Robert Allan Weitzel | Psychiatry & Neurology | 78 U St, Salt Lake City, UT 84103-4304 | 2011-11-21 |
| 1427349042 | Kristen Leigh Pagel | Psychiatry & Neurology | 30 N 1900 E Rm 1c412, Gme Office, Salt Lake City, UT 84132-0002 | 2011-04-30 |
| 1952690919 | Brent Michael Kious | Psychiatry & Neurology | University Hospital 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2011-03-30 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84106 |
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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.