MATTHEW EVAN JOHNSON (NPI# 1649738428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649738428 |
| Entity Type | Individual |
| Full Name | MATTHEW EVAN JOHNSON |
| Practice Address |
1443 Hartford Ave Johnston RI 02919 |
| Mailing Address |
117 Ellenfield St Ste 101 Providence RI 02905-4513 |
| Practice Telephone | 4012738100 |
| Practice Fax Number | 4018618696 |
| Mailing Telephone | 4014446779 |
| Mailing Fax Number | 4014446912 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDP00775 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | LCDP | CDP00775 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Barber Ave, Warwick, RI 028865202 | 4015746688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
| 1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
| 1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
| 1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
| 1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
| 1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
| Street Address |
1443 HARTFORD AVE |
| City | JOHNSTON |
| State | RI |
| Zip Code | 02919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003896101 | Warren Andrew Ong | Psychiatry & Neurology | 1443 Hartford Ave, Johnston, RI 02919 | 2006-01-17 |
| 1700487188 | Jazlyn Mitchell | Social Worker | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2020-11-03 |
| 1932749389 | Emma Rose Romano | Registered Nurse | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2020-01-14 |
| 1295370021 | Alexandra Berenis | Counselor | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2019-11-15 |
| 1902441926 | Sarah Williams | Social Worker | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2019-11-13 |
| 1366086860 | Jennifer Evelyn Salerno | Social Worker | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2019-10-29 |
| 1689224750 | Timothy M. Wade Jr. | Social Worker | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2019-09-19 |
| 1366901225 | Charita Althenor | Counselor | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2019-03-19 |
| 1346723541 | Lauren Marie Stadelbauer | Counselor | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2018-09-13 |
| 1801383724 | Lynsey Mcnamara | Counselor | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2018-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659935757 | Cheryl K. D'itri | Massage Therapist | 2051 Plainfield Pike, Johnston, RI 02919 | 2019-04-24 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1659862803 | Michaele Marie Colizza | Massage Therapist | 1524 Atwood Ave Ste 213, Johnston, RI 02919 | 2018-05-23 |
| 1609396613 | Peter Dionisopoulos | Physical Therapist | 12 Industrial Ln, Johnston, RI 02919 | 2017-06-21 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1467735720 | Robert Tortolani | Pharmacist | 1387 Plaindield St., Johnston, RI 02919 | 2011-09-23 |
| 1518288075 | Vito F. Ferri | Internal Medicine | 1539 Atwood Ave., Suite 101, Johnston, RI 02919 | 2010-06-18 |
| 1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
| 1922239995 | Heidi C. O'grady | Physical Therapist | 1529 Atwood Avenue, Suite 202, Johnston, TX 02919 | 2009-08-07 |
| 1184855397 | Holly Batura | Counselor | 1516 Hartford Avenue, Johnston, RI 02919 | 2009-08-05 |
| Find all providers in zip 02919 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730639667 | Hannah Hanson | Counselor | 985 Plainfield St, Johnston, RI 02919-6703 | 2016-10-04 |
| 1801341672 | Stephanie Viola Brown | Counselor | 97 Victor Ave, Johnston, RI 02919-4015 | 2016-08-22 |
| 1881856961 | Gina Mullen | Counselor | 1443 Hartford Avenue, Johnston, RI 02919 | 2008-06-30 |
| 1508415704 | Megan M. Allaire | Counselor | 1126 Hartford Ave, Johnston, RI 02919-7109 | 2019-09-10 |
| 1073082111 | Britni J Butti | Counselor | 985 Plainfield St, Johnston, RI 02919-6703 | 2018-11-19 |
| 1376041350 | Emily K Johnston | Counselor | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2018-01-25 |
| 1760996391 | Lisa Marie Pearson | Counselor | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2017-11-17 |
| 1134645856 | Stephen R Ricco | Counselor | 985 Plainfield St, Johnston, RI 02919-6703 | 2017-08-15 |
| 1881119675 | Shiana Nadine Ashworth | Counselor | 985 Plainfield St, Johnston, RI 02919-6703 | 2017-08-14 |
| 1467977512 | Tara Behan | Counselor | 985 Plainfield St, Johnston, RI 02919-6703 | 2017-08-10 |
| Find all providers in JOHNSTON | ||||
Please comment or provide details below to improve the information on MATTHEW EVAN JOHNSON.
| 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.