DR. JAN GARY JOHNSON (NPI# 1730285008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730285008 |
| Entity Type | Individual |
| Full Name | DR. JAN GARY JOHNSON |
| Credential | PH.D. |
| Practice Address |
945 11th Ave Suite B Longview WA 98632-2555 |
| Practice Telephone | 3604148600 |
| Practice Fax Number | 3606367372 |
| Mailing Telephone | 3604148600 |
| Mailing Fax Number | 3606367372 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2721 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864596 | Jan Marie Johnson | Social Worker | 6625 Lyndale Ave S Ste 500, Richfield, MN 55423-2691 | 2019-10-29 |
| 1326467622 | Jan W Johnson | Dietitian, Registered | 5278 Church St, Lafitte, LA 70067-5224 | 2014-04-15 |
| 1326193632 | Jan M Johnson | Pediatrics | 5 Journey Ste 140, Aliso Viejo, CA 92656-5330 | 2007-01-24 |
| 1285742106 | Jan E Johnson | Counselor | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2006-08-29 |
| 1295784510 | Jan Ronald Johnson | Physical Therapist | 585 Tahoe Keys Blvd, South Lake Tahoe, CA 96150-3314 | 2006-05-06 |
| 1023518537 | Jan Delroy Johnson | Urology | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2018-02-20 |
| 1043547227 | Jan M Johnson | Psychologist | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2009-11-10 |
| 1699941856 | Jan Ray Johnson | Pharmacist | 800 S Slappey Blvd, Albany, GA 31701-2616 | 2008-05-07 |
| 1497950430 | Jan M Johnson | Social Worker | 909 N Kentucky Ave, West Plains, MO 65775-2024 | 2007-06-19 |
| 1881778942 | Jan Johnson | Dermatology | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-10-25 |
| Street Address |
945 11TH AVE SUITE B |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164468609 | Stephen Scott Meharg | Psychologist | 945 11th Ave, Suite B, Longview, WA 98632-2503 | 2006-06-22 |
| 1427578814 | Alexander Potter | Counselor | 945 11th Ave, Longview, WA 98632-2555 | 2017-06-26 |
| 1497206411 | Kathryn Fanchi | Counselor | 945 11th Ave, Longview, WA 98632-2555 | 2016-10-14 |
| 1780042770 | Kristin Joy Gibb | Counselor | 945 11th Ave, Longview, WA 98632-2555 | 2016-02-04 |
| 1063819175 | Ibrahim Kurdieh | Psychologist | 945 11th Ave, Suite B, Longview, WA 98632-2555 | 2014-12-04 |
| 1639588619 | Sarah Allen | Counselor | 945 11th Ave, Longview, WA 98632-2555 | 2014-08-04 |
| 1043404643 | Wendy J Biss | Psychologist | 945 11th Ave, Suite B, Longview, WA 98632-2555 | 2007-08-28 |
| 1780750471 | Karen Ann Pauly | Psychologist | 945 11th Ave, Suite B, Longview, WA 98632-2555 | 2006-11-27 |
| 1538235197 | Mary L Heywood | Social Worker | 945 11th Ave, Suite B, Longview, WA 98632-2555 | 2006-11-27 |
| 1811079049 | Northwest Psychological Resources LLC | Counselor | 945 11th Ave, Suite B, Longview, WA 98632-2555 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962501031 | Madelene Lenann Nye | Psychologist | 1510 West Fairmont, Suite D, Longview, TX 75604-6321 | 2006-09-22 |
| 1023110509 | Melissa Lea Woodson | Psychologist | 5007 Lavender Leaf, Longview, TX 75604-0600 | 2006-09-03 |
| 1033220843 | David F Devidal | Psychologist | 945 11th St, Ste B, Longview, WA 98632 | 2006-08-31 |
| 1356350912 | Ronald J. Jereb | Psychologist | 2010 Gilmer Road, Ste 107, Longview, TX 75604 | 2006-08-05 |
| 1164468609 | Stephen Scott Meharg | Psychologist | 945 11th Ave, Suite B, Longview, WA 98632-2503 | 2006-06-22 |
| 1649212473 | True Sandlin Mann | Psychologist | 1906 N 4th St, Longview, TX 75601-3202 | 2006-06-13 |
| 1063819175 | Ibrahim Kurdieh | Psychologist | 945 11th Ave, Suite B, Longview, WA 98632-2555 | 2014-12-04 |
| 1780081331 | Northwest Psychological Resources | Psychologist | 945 11th Ave Ste B, Longview, WA 98632-2555 | 2014-11-25 |
| 1356535199 | Katy Arleen Herr | Psychologist | 1655 Hudson St, Ste 5, Longview, WA 98632-2949 | 2007-09-05 |
| 1043431489 | Diversified Psychological Services | Psychologist | 1508 W Fairmont St, Suite C, Longview, TX 75604-6303 | 2007-05-02 |
| Find all providers in LONGVIEW | ||||
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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.