DR. DAVID EDWIN JOHNSEN (NPI# 1639186448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639186448 |
| Entity Type | Individual |
| Full Name | DR. DAVID EDWIN JOHNSEN |
| Credential | PH.D |
| Practice Address |
3601 Nw 138th St Ste. 201 Oklahoma City OK 73134-2513 |
| Practice Telephone | 4057558576 |
| Practice Fax Number | 4057556026 |
| Mailing Telephone | 4057558576 |
| Mailing Fax Number | 4057556026 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
538 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447715644 | David A Johnsen | Technician | 4855 Vegas Valley Dr Apt 150, Las Vegas, NV 89121-2080 | 2019-02-01 |
| 1619057387 | David Christopher Johnsen | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| 1215955976 | David E Johnsen | Specialist | 800 Oak Street, Farmville, VA 23901-1199 | 2006-07-18 |
| 1467420422 | David Robert Johnsen | Military Health Care Provider | 3001a Sixth Street, Naval Hospital Fisher Clinic, Great Lakes, IL 60088 | 2006-03-08 |
| Street Address |
3601 NW 138TH ST STE. 201 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73134-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305849 | Scott A Mitchell | Anesthesiology | 3601 Nw 138th St, Ste 200, Oklahoma City, OK 73134-2507 | 2005-06-08 |
| 1215319371 | Oklahoma Pain Management Pllc | Anesthesiology | 3601 Nw 138th St, Suite 200, Oklahoma City, OK 73134-2513 | 2015-06-25 |
| 1306131982 | Garrett Wright | Anesthesiology | 3601 Nw 138th St, Oklahoma City, OK 73134-2517 | 2011-06-13 |
| 1114166105 | Leigh Ann Martin | Physician Assistant | 3601 Nw 138th St, Suite 200, Oklahoma City, OK 73134-2513 | 2009-02-13 |
| 1104098961 | Justin Ross Porter | Anesthesiology | 3601 Nw 138th St, Oklahoma City, OK 73134-2513 | 2008-04-01 |
| 1679760912 | Oklahoma Pain Management Pllc | Specialist | 3601 Nw 138th St, Ste 200, Oklahoma City, OK 73134-2513 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841846474 | Designs In Dentistry | Dentist | 14810 Serenita Ave, Oklahoma City, OK 73134 | 2019-08-09 |
| 1538683248 | Amber N Rettke | Case Manager/Care Coordinator | 14900 N. Pennsylvania Ave Apt. 1423, Oklahoma City, OK 73134 | 2017-08-03 |
| 1043750755 | Nikki Jo Rios | Behavioral Analyst | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2017-02-28 |
| 1285092437 | Christina Almstrom Whelan | Psychologist | 14616 Fossil Creek Lane, Oklahoma City, OK 73134 | 2016-02-03 |
| 1881003614 | Amber D. Given | Counselor | 14001 Mcauley Blvd. Suite 240, Oklahoma City, OK 73134 | 2014-08-06 |
| 1114365483 | Chester Arthur Woods IIi | Student in an Organized Health Care Education/Training Program | 14548 North Pennsylvania Ave, Oklahoma City, OK 73134 | 2013-06-10 |
| 1700123916 | Laura Jane Holsey | Surgery | 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 | 2013-01-08 |
| 1023354842 | Amattco LLC | Clinic/Center | 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 | 2012-12-26 |
| 1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
| 1003167503 | Lindsey Brockie | Technician, Other | 14828 Serenita Ave, Oklahoma City, OK 73134 | 2012-09-24 |
| Find all providers in zip 73134 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898295 | Jessica Marie Martin | Psychologist | 8804 Nw 127th St, Oklahoma City, OK 73142-8623 | 2020-07-21 |
| 1609415983 | Nicole Marie Kramer | Psychologist | 921 Ne 13th St # 116c, Oklahoma City, OK 73104-5007 | 2020-01-03 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1285092437 | Christina Almstrom Whelan | Psychologist | 14616 Fossil Creek Lane, Oklahoma City, OK 73134 | 2016-02-03 |
| 1730545153 | Mind Works Consulting and Psychological Services | Psychologist | 11901 N Macarthur Blvd Ste C, Oklahoma City, OK 73162-1806 | 2016-01-14 |
| 1770956781 | Rachel Funk-lawler | Psychologist | 920 Stanton L Young Blvd # Wp3262, Oklahoma City, OK 73104-5036 | 2015-11-12 |
| 1124400635 | Keys for Hope, Pllc | Psychologist | 11212 N May Ave Ste 312, Oklahoma City, OK 73120-6335 | 2015-06-20 |
| 1194064766 | Brighter Day Health LLC | Psychologist | 5929 N May Ave Ste 302, Oklahoma City, OK 73112-3925 | 2013-02-02 |
| 1437494655 | Dr. Yong H. Kim, Psyd, Professional Limited Company | Psychologist | 8101 Nw 10th, Oklahoma City, OK 73127 | 2012-11-28 |
| 1346526027 | Brent Kenney | Psychologist | 1910 N Robinson Ave, Oklahoma City, OK 73103-4411 | 2011-10-26 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73134 |
Please comment or provide details below to improve the information on DR. DAVID EDWIN JOHNSEN.
| 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.