Benetta E Johnson (NPI# 1194977298, PAC ID# 1759434111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1194977298 |
| PAC ID by PECOS | 1759434111 |
| Professional Enrollment ID | I20090803000079 |
| Full Name | Benetta E Johnson |
| Organization Legal Name | HOPE HAVEN PSYCHOLOGICAL RESOURCE, LLC |
| Address |
5610 Crawfordsville Rd Suite 200 Indianapolis IN 46224-3714 |
| Phone Number | 3172414673 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 8527232214 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5610 Crawfordsville Rd, Suite 200, Indianapolis, IN 46224-3714 | 3172414673 | HOPE HAVEN PSYCHOLOGICAL RESOURCE, LLC |
| Organization Legal Name | HOPE HAVEN PSYCHOLOGICAL RESOURCE, LLC |
| Physicians | 1 |
| Street Address |
5610 CRAWFORDSVILLE RD SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46224-3714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohana Raghunath Sowani | Physical Therapy | Advanced Physical Therapy LLC | 6345 Crawfordsville Rd, Suite B, Speedway, IN 46224-3565 |
| Sandra Dawn Scherschel | Physical Therapy | Advanced Physical Therapy LLC | 6345 Crawfordsville Rd, Suite B, Speedway, IN 46224-3565 |
| Jacob Schick | Physical Therapy | Advanced Physical Therapy LLC | 6345 Crawfordsville Rd, Suite B, Speedway, IN 46224-3565 |
| Diana L Robertson | Nurse Practitioner | Little Clinic of In LLC | 5718 Crawfordsville Rd, Indianapolis, IN 46224-3704 |
| Sunshine Mia Wolfe | Nurse Practitioner | Little Clinic of In LLC | 5718 Crawfordsville Rd, Indianapolis, IN 46224-3704 |
| David L Keith | Nurse Practitioner | Little Clinic of In LLC | 5718 Crawfordsville Rd, Indianapolis, IN 46224-3704 |
| Courtney Scholl | Physical Therapy | Fast Track Physical Therapy LLC | 5641 Crawfordsville Rd, Indianapolis, IN 46224-3718 |
| Kirsten E Kaisner-duncan | Internal Medicine | Osh-in Physicians Group PC | 5926 Crawfordsville Rd, B, Speedway, IN 46224-3722 |
| Elizabeth Ioannacci | Nurse Practitioner | Osh-in Physicians Group PC | 5926 Crawfordsville Rd, B, Speedway, IN 46224-3722 |
| Arshiya F Baig | Internal Medicine | Osh-in Physicians Group PC | 5926 Crawfordsville Rd, B, Speedway, IN 46224-3722 |
| Find all physicians in zip 46224 | |||
| City | INDIANAPOLIS |
| Zip Code | 46224 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | INDIANAPOLIS + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Benetta E Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.