DR. SHELBY JOHNSON (NPI# 1770957342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770957342 |
| Entity Type | Individual |
| Full Name | DR. SHELBY JOHNSON |
| Credential | PH.D. |
| Practice Address |
1010 Lamond Ave Durham NC 27701-2021 |
| Mailing Address |
1403 Bahama Rd Bahama NC 27503-9021 |
| Practice Telephone | 9199641268 |
| Mailing Telephone | 9199641268 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
4873 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 810 Iredell St, Durham, NC 277054120 | 9199641268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900098 | Shelby Sanya Johnson | Student in an Organized Health Care Education/Training Program | 102 Lexibelle Dr, Columbia, MO 65201-2831 | 2020-04-15 |
| 1164060612 | Shelby Morgan Johnson | Developmental Therapist | 11 Argyle St, Andover, MA 01810-2706 | 2019-12-16 |
| 1972085900 | Shelby Johnson | Licensed Practical Nurse | 4219 State Route 3, Fulton, NY 13069-3640 | 2018-09-06 |
| 1457864985 | Shelby Bowman Johnson | Physician Assistant | 2410 Patterson St Bsmt Level, Nashville, TN 37203-1551 | 2017-11-06 |
| 1780959171 | Shelby Johnson | Anesthesiology | 215 Wadsworth Drive, Richmond, VA 23236 | 2012-03-19 |
| 1578162046 | Shelby Johnson | Nurse Practitioner | 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 | 2020-10-25 |
| 1316585698 | Shelby Dale Johnson | Behavioral Analyst | 807 Henderson Ave, Orange, TX 77630-6325 | 2019-12-17 |
| 1700429214 | Shelby Johnson | Social Worker | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2019-10-28 |
| 1366091811 | Shelby Johnson | Social Worker | 350 Elk St, Rapid City, SD 57701-7351 | 2019-09-07 |
| 1366000853 | Shelby A Johnson | Behavior Technician | 1936 Summit St, Kansas City, MO 64108-2110 | 2019-05-30 |
| Street Address |
1010 LAMOND AVE |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023068806 | Liliana R. Sznaidman | Counselor | 1010 Lamond Ave, Durham, NC 27701-2021 | 2006-05-11 |
| 1437795531 | Margaret Ann Hattori | Social Worker | 1010 Lamond Ave, Durham, NC 27701-2021 | 2019-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326299546 | Gregory Andrew Welikson | Psychologist | 3326 Durham Chapel Hill Blvd Ste 230, Durham, NC 27707-6239 | 2008-10-07 |
| 1588644439 | Jeanine Driscoll | Psychologist | 1502 W Nc Highway 54, #406, Durham, NC 27707-5571 | 2006-01-18 |
| 1578560603 | Anne Converse Avery | Psychologist | 27 Bagdad Rd, Durham, NH 03824-2201 | 2005-07-05 |
| 1679196869 | Ashley Nicole Hill | Psychologist | 2213 Elba St, Durham, NC 27705-3934 | 2020-05-21 |
| 1174096804 | Marvice D. Marcus | Psychologist | 2009 Chapel Hill Rd, Durham, NC 27707-1109 | 2019-01-04 |
| 1982171658 | Nahal C Kaivan Ph D Pllc | Psychologist | 911 Broad St, Durham, NC 27705-4141 | 2018-10-31 |
| 1538634480 | Michael Pasquale Iezzi | Psychologist | 1018 Broad St, Durham, NC 27705-4144 | 2018-10-08 |
| 1770035313 | George Nichols | Psychologist | 3326 Durham Chapel Hill Blvd Ste 230, Durham, NC 27707-6239 | 2016-10-31 |
| 1194272815 | Peter John Adams | Psychologist | 5850 Fayetteville Rd, Suite 211, Durham, NC 27713-6289 | 2016-09-10 |
| 1518362565 | Gary Glass | Psychologist | 112 Swift Ave, Durham, NC 27705-4883 | 2014-11-01 |
| Find all providers in DURHAM | ||||
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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.