MR. BRIAN DEE JOHNSON (NPI# 1598771552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598771552 |
| Entity Type | Individual |
| Full Name | MR. BRIAN DEE JOHNSON |
| Credential | PSYCHOLOGIST |
| Practice Address |
5340 Holiday Ter Kalamazoo MI 49009-2196 |
| Practice Telephone | 2693724140 |
| Practice Fax Number | 2693720390 |
| Mailing Telephone | 2693724140 |
| Mailing Fax Number | 2693720390 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301009969 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1669002630 | Brian A Johnson | Counselor | 16978 W Santiago Cir, Hauser, ID 83854-8153 | 2020-01-18 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1467979013 | Brian R Johnson Jr. | Massage Therapist | 275 Sw 160th St Ste 201, Burien, WA 98166-3003 | 2017-08-24 |
| 1851817316 | Brian Johnson | Driver | 2919 Providence Creek Rd, North Chesterfield, VA 23236-5267 | 2017-08-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1356870158 | Brian Johnson | Private Vehicle | 52 Saint Pauls Rd, Warsaw, VA 22572-4436 | 2017-06-06 |
| 1538601554 | Brian David Johnson | Occupational Therapist | 7370 Cabot Ct Ste 101, Melbourne, FL 32940-8263 | 2016-11-08 |
| 1548630122 | Brian Johnson | Technician, Cardiology | 1163 Bridge Mill Ave, Canton, GA 30114-7713 | 2015-09-25 |
| 1093111817 | Brian Johnson | Home Health | 9446 Crockett Pass, Hamilton, OH 45011-9054 | 2014-11-05 |
| Street Address |
5340 HOLIDAY TER |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528057528 | Melissa Anne Brown | Social Worker | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 | 2005-10-21 |
| 1659991537 | Carlye Gail Mercer | Counselor | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 | 2020-04-21 |
| 1033638135 | Karen Oberhill | Counselor | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 | 2017-09-11 |
| 1538511019 | David Chadderdon | Psychologist | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 | 2016-07-07 |
| 1205284056 | Alison Bennett | Psychologist | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 | 2016-06-01 |
| 1700299898 | Jennelle Hines | Counselor | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 | 2014-06-05 |
| 1740613926 | Sarah Krussell | Counselor | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 | 2013-08-12 |
| 1851734545 | Jennifer Lynn Kindt | Psychologist | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 | 2013-04-11 |
| 1407100894 | Erica Jex Gergely | Psychologist | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 | 2012-11-06 |
| 1366710774 | Child and Family Psychological Services, PC | Psychologist | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 | 2011-12-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699102707 | Patrick K. Mcguire | Psychologist | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2013-10-03 |
| 1699018606 | Ashley Mckenzie Trieu | Psychologist | 1090 N 10th St, Suit 110, Kalamazoo, MI 49009-5733 | 2013-03-28 |
| 1538340567 | Western Michigan University | Psychologist | 1000 Oakland Dr Fl 3, Kalamazoo, MI 49008-1282 | 2007-11-19 |
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| 1407490006 | Oakland Integrated Healthcare Network | Psychologist | 3825 W Walton Blvd, Room B, Waterford, MI 48329-4270 | 2019-11-06 |
| 1487298204 | Oakland Integrated Healthcare Network | Psychologist | 881 Pinecrest Dr Fl 1, Ferndale, MI 48220-2310 | 2019-11-05 |
| 1952945107 | Oakland Integrated Healthcare Network | Psychologist | 2800 Waukegan St Rm 3, Auburn Hills, MI 48326-3261 | 2019-10-31 |
| 1730723982 | Oakland Integrated Healthcare Network | Psychologist | 32000 Shiawassee Rd Rm B, Farmington Hills, MI 48336-3251 | 2019-10-31 |
| 1558913160 | Anna Snyder | Psychologist | 9223 Sandhill Ct, Saline, MI 48176-9440 | 2019-07-13 |
| 1467965418 | Jeffrey William Thompson | Psychologist | 167 Leota Blvd, Waterford, MI 48327-3631 | 2017-11-13 |
| 1578074621 | Joshua Dale Brewer | Psychologist | 206 W Michigan Ave, Oscoda, MI 48750-1413 | 2017-10-17 |
| 1235655614 | Ramzi Hasson | Psychologist | 21600 Novi Rd # 800, Novi, MI 48375-5605 | 2017-08-17 |
| 1588184832 | Allison Vercellone Hayhoe | Psychologist | 31700 W 12 Mile Rd Ste 100&250, Farmington Hills, MI 48334-4424 | 2017-06-27 |
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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.