DR. KATHLEEN SHUCK JOHNSON (NPI# 1952356180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952356180 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN SHUCK JOHNSON |
| Credential | M.D. |
| Practice Address |
4115 Montgomery Blvd Ne Albuquerque NM 87109-1102 |
| Practice Telephone | 5058810092 |
| Mailing Telephone | 5058810092 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
93-291 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1083129613 | Kathleen Yezek Johnson | Speech-Language Pathologist | 4700 School Rd, Ringwood, IL 60072-9606 | 2017-12-05 |
| 1366966616 | Kathleen M Johnson | Registered Nurse | 3525 W Oxford Ave Unit G-2, Denver, CO 80236-3114 | 2017-07-28 |
| 1912433889 | Kathleen Johnson | Dietitian, Registered | 1635 Belt St, Baltimore, MD 21230-4705 | 2017-05-11 |
| 1700214392 | Kathleen Johnson | Nurse Practitioner | 30 E Huron St Apt 1002, Chicago, IL 60611-2742 | 2013-10-17 |
| 1942541503 | Kathleen Anne Johnson | Speech-Language Pathologist | 841 N Downs St Ste C, Ridgecrest, CA 93555-3380 | 2013-03-07 |
| 1386922441 | Kathleen O'hara Johnson | Internal Medicine | 6330 Riverdale Rd, Riverdale, GA 30274-1617 | 2011-07-23 |
| 1124310198 | Kathleen Theresa Johnson | Nurse Practitioner | 113 N Campbell Rd, Royal Oak, MI 48067-2345 | 2011-05-10 |
| 1497071641 | Kathleen Johnson | Adult Companion | 208 Maple St., Apt. 208, Big Rapids, MI 49307 | 2010-04-13 |
| 1710165360 | Kathleen Mcgraw Johnson | Social Worker | 22800 Golfview Dr, Southfield, MI 48033-6648 | 2008-02-06 |
| Street Address |
4115 MONTGOMERY BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043265275 | William Laing Johnson | Anesthesiology | 4115 Montgomery Blvd Ne, Albuquerque, NM 87109-1102 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982219499 | Chrysalis Healthcare LLC | Psychiatry & Neurology | 2632 Mesilla St Ne Ste 6, Albuquerque, NM 87110-3614 | 2020-09-11 |
| 1922646595 | Psychogenesis LLC | Psychiatry & Neurology | 3900 Eubank Blvd Ne Ste 18, Albuquerque, NM 87111-3427 | 2019-12-14 |
| 1134515737 | Amanda S Valone | Psychiatry & Neurology | 1501 San Pedro Dr Se Rm 145, Albuquerque, NM 87108-5180 | 2015-04-09 |
| 1932514288 | Christine M Clark | Psychiatry & Neurology | 1 University of New Mexico # 95030, Albuquerque, NM 87131-0001 | 2014-06-25 |
| 1790105369 | Monique Elise Ethne Simpson | Psychiatry & Neurology | 320 Gold Ave Sw Ste 1001, Albuquerque, NM 87102-3228 | 2014-04-22 |
| 1386083368 | Jeannette Elizabeth Ferguson | Psychiatry & Neurology | Child Psychiatric Center 1001 Yale Blvd Ne, Albuquerque, NM 87131 | 2013-06-23 |
| 1245573476 | Dyani Loo | Psychiatry & Neurology | Msc 09 5030 University of New Mexico, Albuquerque, NM 87131 | 2013-04-06 |
| 1346528866 | Christie Anne Cline | Psychiatry & Neurology | 8905 Osuna Rd Ne, Albuquerque, NM 87111-2139 | 2011-08-01 |
| 1083904023 | Nina E Higgins | Psychiatry & Neurology | Msc 09 5030 1 University of New Mexico, Albuquerque, NM 87131 | 2011-04-11 |
| 1003111873 | Melissa A Merhege | Psychiatry & Neurology | 500 Walter St Ne Ste 213, Albuquerque, NM 87102 | 2011-01-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on DR. KATHLEEN SHUCK 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.