MICHELLE JOHNSON (NPI# 1962019935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962019935 |
| Entity Type | Individual |
| Full Name | MICHELLE JOHNSON |
| Practice Address |
22513 Se 61st Ave Hawthorne FL 32640-3640 |
| Practice Telephone | 3522345738 |
| Mailing Telephone | 3522345738 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
236912 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986321 | Michelle Lynn Johnson | Clinic/Center | 576 Bahia Cir Apt A, Ocala, FL 34472-2267 | 2020-09-10 |
| 1699389957 | Michelle Christine Johnson | Social Worker | 8646 Eagle Creek Cir, Savage, MN 55378-1570 | 2020-09-03 |
| 1003432949 | Michelle Jan Johnson | Counselor | 602 Warwickshire Ct, Newport News, VA 23605-1134 | 2020-06-16 |
| 1912546144 | Michelle Johnson | Nurse Practitioner | 1825 Preakness Path, Guthrie, OK 73044-7880 | 2020-01-06 |
| 1649816315 | Michelle Renae Johnson | Behavioral Analyst | 901 E Washington St Apt 338, Colton, CA 92324-8143 | 2019-11-18 |
| 1932741790 | Michelle Y Johnson | Technician | 6731 Leedale St., Houston, TX 77016 | 2019-10-14 |
| 1508361890 | Michelle Honorae-cano Johnson | Behavior Technician | 610 Bercut Dr, Sacramento, CA 95811-0115 | 2018-03-28 |
| 1003329590 | Michelle Lynne Johnson | Specialist | 1891 River St, Hyde Park, MA 02136-1418 | 2017-11-07 |
| 1992215297 | Michelle R Johnson | Speech-Language Pathologist | 923 Wisconsin Rd, New Lenox, IL 60451-2263 | 2017-10-02 |
| 1407394661 | Michelle Johnson | Assisted Living Facility | 2513 Blodgett St, Houston, TX 77004-5239 | 2017-02-08 |
| Street Address |
22513 SE 61ST AVE |
| City | HAWTHORNE |
| State | FL |
| Zip Code | 32640-3640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584125 | Harmony Fruition Agency LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22513 Se 61st Ave, Hawthorne, FL 32640-3640 | 2020-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306303169 | Althea Pontoon | In Home Supportive Care | 144 Prairie Drive, Hawthorne, FL 32640 | 2019-02-27 |
| 1013446475 | Divine Care Services LLC | Home Health Aide | 21212 Se 62nd Ave, Hawthorne, FL 32640 | 2017-06-08 |
| 1073968715 | Crista Marina Ana Lucia Rosborough | Specialist | 21403 Se 70th Ave, Hawthorne, FL 32640 | 2016-05-02 |
| 1952781387 | Neil Franklin Letts | Ophthalmology | 160 Little Orange Lake Drive, Hawthorne, FL 32640 | 2015-06-01 |
| 1750575056 | Lenise Valma Thomas | Licensed Practical Nurse | 109 Juniper Drive, Hawthorne, FL 32640 | 2007-08-29 |
| 1023138708 | Brian Christopher Creghan I | Physician Assistant | 6435 Se Hwy 301, Hawthorne, FL 32640 | 2007-03-29 |
| 1275627275 | Charles Edward Peele | Chiropractor | 6005 Se Hwy 301, Suite 405a, Hawthorne, FL 32640 | 2006-10-03 |
| 1093123614 | Joseph J Ciccio | Physical Therapist | 19804 Ne 22nd Ln, Hawthorne, FL 32640-2900 | 2014-07-28 |
| 1073912184 | Kristen Tiurchy | Occupational Therapist | 19804 Ne 22nd Ln, Hawthorne, FL 32640-2900 | 2014-08-14 |
| 1306347919 | Myia Mccloud | Licensed Practical Nurse | 22421 Se 59th Pl, Hawthorne, FL 32640-3616 | 2018-02-28 |
| Find all providers in zip 32640 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785837 | Change The Narrative Counseling LLC | Psychologist | 20417 Berrywood Ln, Tampa, FL 33647-3476 | 2020-06-23 |
| 1689210791 | Alexis Vaughn | Psychologist | 203 Ne Montana St, Lake City, FL 32055-2183 | 2019-11-24 |
| 1316581101 | Melissa Singleton | Psychologist | 4728 Lexington Ave, Jacksonville, FL 32210-3218 | 2019-11-05 |
| 1407408123 | R Ramos Inc. | Psychologist | 2285 St R 580, S-210, Clearwater, FL 33763-1111 | 2019-07-12 |
| 1215599766 | Stephanie Rita Mcdonough | Psychologist | 1600 Sw Archer Rd Fl Roomg901, Gainesville, FL 32610-3003 | 2019-07-05 |
| 1013573039 | Antionette Jarshawn Miller-maultsby | Psychologist | 4401 Will Scarlet Rd, Jacksonville, FL 32208-1154 | 2019-05-15 |
| 1376002063 | Lakeyta Nacole Givens | Psychologist | 514 Joan St, Macclenny, FL 32063-2618 | 2019-03-13 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1295280428 | Psych Aid Corp | Psychologist | 1300 Nw 84th Ave, Doral, FL 33126-1500 | 2016-08-17 |
| 1952855082 | Day By Day Wellness Inc | Psychologist | 207 Blue Heron Blvd E, Suite 203, Riviera Beach, FL 33404-4560 | 2016-08-05 |
| 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.