JERROD K. JOHNSON (NPI# 1780928556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780928556 |
| Entity Type | Individual |
| Full Name | JERROD K. JOHNSON |
| Credential | PSY.D. |
| Practice Address |
1881 N University Dr Ste 104 Coral Springs FL 33071-6093 |
| Practice Telephone | 9543400888 |
| Practice Fax Number | 9543460909 |
| Mailing Telephone | 9543400888 |
| Mailing Fax Number | 9549543460 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY8744 | FL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003599 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4851 W Hillsboro Blvd, Suite A1, Coconut Creek, FL 330734355 | 9544286020 | 9544286022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760959969 | Jerrod Johnson | Case Manager/Care Coordinator | 2410 Executive Dr, Indianapolis, IN 46241-5045 | 2018-10-26 |
| Street Address |
1881 N UNIVERSITY DR STE 104 |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33071-6093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114977592 | Carrie Ann Hood Strong | Clinical Neuropsychologist | 1881 N University Dr Ste 104, Coral Springs, FL 33071-6093 | 2006-05-10 |
| 1932769775 | Nancy Ilene Zlatkin | Psychologist | 1881 N University Dr Ste 104, Coral Springs, FL 33071-6093 | 2019-06-14 |
| 1427514140 | Danielle Carney | Counselor | 1881 N University Dr Ste 104, Coral Springs, FL 33071-6093 | 2019-02-18 |
| 1841370657 | Katherine Jean Baum | Clinical Neuropsychologist | 1881 N University Dr Ste 104, Coral Springs, FL 33071-6093 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033791 | Wendy Beth Heidkamp | Pharmacist | 8231 Nw 6th Court, Coralsprings, FL 33071 | 2020-08-17 |
| 1265041420 | Shashera Pringle | Nurse Practitioner | 10948 Nw 3rd Street, Coral Springs, FL 33071 | 2020-07-23 |
| 1568084580 | Redsky Solutions, Inc. | Non-emergency Medical Transport (VAN) | 695 Nw 100th Ln, Coral Springs, FL 33071 | 2020-05-13 |
| 1578112991 | Dr G's Pharmacy, Inc | Pharmacy | 2224 N. University Drive, Coral Springs, FL 33071 | 2019-09-09 |
| 1366935447 | Nonye Gali | Occupational Therapy Assistant | 9017 Nw 19th St, Coral Springs, FL 33071 | 2018-06-12 |
| 1255855151 | Elisabet Stumper | Speech-Language Pathologist | 1313 Nw 100th Drive, Coral Springs, FL 33071 | 2017-08-01 |
| 1578093175 | Make It Happen Nursing, LLC | Nursing Care | 8835 Nw 3rd Court, Coral Springs, FL 33071 | 2017-06-15 |
| 1023547304 | Steven Quanhien Thach | Physical Therapist | 2043 N University Dr., Coral Springs, FL 33071 | 2017-06-08 |
| 1083063945 | Health Care Clinic At Walgreens | Clinic/Center | 1724 Nw 126th Dr, Coral Springs, FL 33071 | 2016-06-10 |
| 1902285703 | J&j Comprehensive Medical Care LLC | Internal Medicine | 1505 N. University Drive, Suite 400, Coral Springs, FL 33071 | 2015-05-26 |
| Find all providers in zip 33071 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427470863 | Johand Rodriguez-fernandez | Psychologist | 196 Nw 118th Dr, Coral Springs, FL 33071-8072 | 2014-01-18 |
| 1558648196 | Katrina Nicole Macias | Psychologist | 5401 N University Dr Ste 202, Coral Springs, FL 33067-4636 | 2011-11-10 |
| 1427371046 | Beth M Leitner | Psychologist | 1347 Nw 108th Ave, Coral Springs, FL 33071-8216 | 2010-03-10 |
| 1982750063 | Donna M Faranda | Psychologist | 475 Ramblewood Dr, Suite 101, Coral Springs, FL 33071-7195 | 2007-01-25 |
| 1831240902 | Alan A. Jaffe | Psychologist | 807 Coral Ridge Dr, Coral Springs, FL 33071 | 2007-01-16 |
| 1033215231 | Constance Avery-clark | Psychologist | 1890 N University Drive, Suite 215, Coral Springs, FL 33071 | 2006-09-15 |
| 1942306147 | John Adams | Psychologist | 1890 N. University Drive, Suite 215, Coral Springs, FL 33071 | 2006-09-15 |
| 1184647075 | Maya Bat-ami | Psychologist | 2855 N University Dr Ste 200, Coral Springs, FL 33065-1403 | 2006-07-25 |
| 1487695029 | Joel I Kimmel | Psychologist | 5551 N University Dr, Suite 102, Coral Springs, FL 33067-4651 | 2006-06-08 |
| 1215926217 | Christopher Woodman | Psychologist | 2901 Coral Hills Drive, Suite 340, Coral Springs, FL 33065-4042 | 2005-10-21 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33071 |
Please comment or provide details below to improve the information on JERROD K. 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.