DR. KIM L. JOHNSON (NPI# 1881700961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881700961 |
| Entity Type | Individual |
| Full Name | DR. KIM L. JOHNSON |
| Credential | PH.D. |
| Practice Address |
1930 S Alma School Rd Suite Number B-214 Mesa AZ 85210-3064 |
| Practice Telephone | 4804915501 |
| Mailing Telephone | 4804915501 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1796 | AZ | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1796 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733361 | Kim Michele Johnson | Counselor | 536 Mark Ave, Vallejo, CA 94589-2029 | 2019-04-09 |
| 1821595067 | Kim Johnson | Technician | 319 Ingraham St Nw, Washington, DC 20011-6603 | 2018-04-12 |
| 1912410937 | Kim Johnson | Occupational Therapist | 5009 W 95th St Ste A, Oak Lawn, IL 60453-2401 | 2017-11-13 |
| 1477088433 | Kim Johnson | Counselor | 1041 Lake Francis Drive, Apopka, FL 32712 | 2017-04-27 |
| 1508312141 | Kim Johnson | Counselor | 2460 W 26th Ave Denver, Denver, CO 80211 | 2016-09-01 |
| 1851739205 | Kim Johnson | Registered Nurse | 310 N Colonial Rdg, Moorestown, NJ 08057-1633 | 2013-06-07 |
| 1831432665 | Kim Graham Johnson | Psychiatry & Neurology | 932 Morreene Rd Rm 224, Durham, NC 27705-4410 | 2013-03-29 |
| 1225338551 | Kim Renee Johnson | Counselor | 527 Bay Rd Ste 104, Queensbury, NY 12804-1430 | 2010-11-03 |
| 1609042787 | Kim Y Johnson | Licensed Practical Nurse | 2125 James St, Syracuse, NY 13206-3209 | 2008-05-07 |
| 1780686626 | Kim Edward Johnson | Anesthesiology | 200 Providence Rd Ste 101, Nash Anesthesia Associates, Charlotte, NC 28207-1437 | 2005-08-11 |
| Street Address |
1930 S ALMA SCHOOL RD SUITE NUMBER B-214 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199716 | Anne E. Harris | Psychologist | 1930 S Alma School Rd, Suite B 214, Mesa, AZ 85210-3064 | 2006-01-19 |
| 1528523776 | Icare Home Health Services LLC | Home Health | 1930 S Alma School Rd, Mesa, AZ 85210-3064 | 2019-02-01 |
| 1942788237 | Beacon Psychological and Consulting Services, Pllc | Clinic/Center | 1930 S Alma School Rd, Mesa, AZ 85210-3064 | 2018-07-30 |
| 1245688555 | Loving Care Hospice Inc | Hospice Care, Community Based | 1930 S Alma School Rd, B213, Mesa, AZ 85210-3064 | 2016-05-26 |
| 1649637398 | Steven Bryce Bennett | Psychologist | 1930 S Alma School Rd, Suite A216, Mesa, AZ 85210-3064 | 2016-01-26 |
| 1952706038 | William Kentopp and John J Bodine | Physical Therapist | 1930 S Alma School Rd, Suite A-100, Mesa, AZ 85210-3064 | 2014-10-30 |
| 1215350038 | Companion Home Health of Maricopa, LLC | Home Health | 1930 S Alma School Rd, Suite A-105, Office No. 8, Mesa, AZ 85210-3064 | 2014-01-30 |
| 1487090262 | Shhphx LLC | Home Health | 1930 S Alma School Rd, Suite C205, Mesa, AZ 85210-3064 | 2013-05-20 |
| 1225377237 | Companion Hospice and Palliative Care of Maricopa, LLC | Hospice Care, Community Based | 1930 S Alma School Rd, D105, Mesa, AZ 85210-3064 | 2013-02-11 |
| 1932482288 | Erin Cathleen South | Psychologist | 1930 S Alma School Rd, Unit A216, Mesa, AZ 85210-3064 | 2011-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679719306 | Mary Ann B. Thirakul, Pllc | Psychologist | 2266 S. Dobson Rd., Suite 200, Mesa, AZ 85202 | 2008-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202594 | Olugus Family Care | Psychologist | 44077 W. Palmen Dr., Maricopa, AZ 85138 | 2020-10-15 |
| 1972029205 | Prism Learning and Development, Pllc | Psychologist | 7157 E Rancho Vista Dr Ste 7147b24, Scottsdale, AZ 85251-1494 | 2017-08-18 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1811360316 | Redemption Psychiatry LLC | Psychologist | 2730 S Val Vista Dr Ste 137, Gilbert, AZ 85295-1681 | 2015-11-05 |
| 1447582937 | Shefali Gandhi, Psy.d., P.l.l.c. | Psychologist | 7120 E 6th Ave, Suite 20, Scottsdale, AZ 85251-3228 | 2010-02-08 |
| 1306077979 | Sue R Lerner | Psychologist | 6773 E Gelding Dr, Scottsdale, AZ 85254-3494 | 2009-07-30 |
| 1417137274 | Cathy Lynn Bissett | Psychologist | 24654 N Lake Pleasant Pkwy Ste 103-497, Peoria, AZ 85383-1359 | 2007-11-09 |
| 1982890588 | Erin Keely Lanphier | Psychologist | 21807 N Scottsdale Rd, Scottsdale, AZ 85255-7439 | 2007-09-18 |
| 1396966453 | Larry L. Grimm | Psychologist | 222 S. Summit Ave., Ste. 1, Prescott, AZ 86303-3780 | 2007-05-02 |
| 1801919840 | Tyra Maria Ripley | Psychologist | 3120 W Cholla St, Phoenix, AZ 85029-4113 | 2007-04-06 |
| Find all providers with the same taxonomy | ||||
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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.