MICHAEL ANTHONY JOHNSON (NPI# 1588640700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588640700 |
| Entity Type | Individual |
| Full Name | MICHAEL ANTHONY JOHNSON |
| Credential | MSW |
| Practice Address |
24 Mallard Ct Beckley WV 25801-3664 |
| Mailing Address |
Po Box 1025 Beckley WV 25802-1025 |
| Practice Telephone | 3042528409 |
| Practice Fax Number | 3042520022 |
| Mailing Telephone | 3042528409 |
| Mailing Fax Number | 3042520022 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2011-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
DP00939097 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0116688000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
| 1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
| Street Address |
24 MALLARD CT |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831175595 | Roger Paul Mooney | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-15 |
| 1689912214 | West Virginia Sleep Centers,inc. | Clinic/Center | 24 Mallard Ct, Beckley, WV 25801-3664 | 2013-01-16 |
| 1063510790 | Debra Lynn Lilly | Psychologist | 24 Mallard Ct, Beckley, WV 25801-3664 | 2006-09-20 |
| 1154347607 | Omar K Hasan | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2006-07-15 |
| 1609891555 | Pam P Washington | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2006-07-13 |
| 1043242118 | Michael L Mcdaniel | Psychologist | 24 Mallard Ct, Beckley, WV 25801-3664 | 2006-07-07 |
| 1154307361 | John Henry Johnson Jr. | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-20 |
| 1205812914 | Raleigh Psychiatric Services, Inc. | Psychologist | 24 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831175595 | Roger Paul Mooney | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-15 |
| 1023094729 | Debra Russell Mooney | Psychiatry & Neurology | 28 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-15 |
| 1609891555 | Pam P Washington | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2006-07-13 |
| 1154307361 | John Henry Johnson Jr. | Psychiatry & Neurology | 24 Mallard Ct, Beckley, WV 25801-3664 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386025765 | Sublime Behavioral Health Pllc | Psychiatry & Neurology | 124 1/2 S Queen St, Martinsburg, WV 25401-3316 | 2015-06-11 |
| 1154542108 | Chad H Priestley | Psychiatry & Neurology | 1 Medical Center Drive, Louis A Johnson Va Medical Center, Clarksburg, WV 26301-4199 | 2007-05-01 |
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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.