DR. JEANINE JOHNSON (NPI# 1790187094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790187094 |
| Entity Type | Individual |
| Full Name | DR. JEANINE JOHNSON |
| Practice Address |
8268 164th St Jamaica NY 11432-1121 |
| Practice Telephone | 7188834027 |
| Mailing Telephone | 7188834027 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 020628 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376188367 | Jeanine Daiana Johnson | Nurse Practitioner | 18962 Sw 94th Ave, Cutler Bay, FL 33157-7958 | 2019-11-13 |
| 1578812939 | Jeanine Kay Johnson | Community Health Worker | 9195 Bay Meadows Dr., Reno, NV 89523 | 2012-08-31 |
| 1831610849 | Jeanine Mary Johnson | Counselor | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2017-06-29 |
| Street Address |
8268 164TH ST |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921814 | Richard Arena | Pharmacist | 8268 164th St, Jamaica, NY 11432-1140 | 2005-06-09 |
| 1598366379 | Yasir Ahmed | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-11-06 |
| 1881294551 | Toor P Noori | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-10-30 |
| 1588264592 | Joshua Beckhusen | Pharmacist | 8268 164th St, Jamaica, NY 11432-1104 | 2020-10-28 |
| 1235744376 | Tanvir Rahman | Pharmacist | 8268 164th St, Jamaica, NY 11432-1121 | 2020-09-15 |
| 1033724869 | Danielle Taylor Kleinhans | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1104 | 2020-09-09 |
| 1295346179 | Amanpreet Kaur | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-08-13 |
| 1093325490 | Jodiane Ashpole | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1121 | 2020-07-31 |
| 1497372551 | Jinjin Lin | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-07-06 |
| 1245856269 | Kiranjot Kaur | Student in an Organized Health Care Education/Training Program | 8268 164th St, Jamaica, NY 11432-1121 | 2020-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427774 | David Statman | Psychologist | 9220 165th St, Jamaica, NY 11433-1104 | 2018-11-29 |
| 1215468962 | Daniel Scullington | Psychologist | 13520 82nd Ave, Apt. 6e, Jamaica, NY 11435-1327 | 2017-03-24 |
| 1174809974 | Yakov Burstein | Psychologist | 18463 Aberdeen Rd, Jamaica, NY 11432-1515 | 2011-10-25 |
| 1285914275 | John Aspromonte | Psychologist | 16101 89th Ave, Jamaica, NY 11432-3902 | 2011-08-22 |
| 1710216338 | Natashia Brown | Psychologist | 14541 109th Ave, Jamaica, NY 11435-5413 | 2009-12-10 |
| 1154503191 | Nancy Dessources Adegoke | Psychologist | 82-70 164th Street, Jamaica, NY 11432 | 2007-12-01 |
| 1356988232 | Beth Vayshenker | Psychologist | 8268 164th St, Pavilion Building, Jamaica, NY 11432-1121 | 2019-12-10 |
| 1720599525 | Charles Gewirtz | Psychologist | 8268 164th St, Jamaica, NY 11432-1121 | 2017-10-19 |
| 1013457431 | Mark Terjesen | Psychologist | 8000 Utopia Pkwy, Jamaica, NY 11439-9000 | 2017-03-04 |
| 1487191318 | Erin King | Psychologist | 8268 164th St, Jamaica, NY 11432-1121 | 2017-01-30 |
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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.