NPI 1184010001 COURTNEY JOHNSON SAN BERNARDINO CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Courtney Johnson - NPI: 1184010001

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: COURTNEY JOHNSON
NPI Number: 1184010001
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: 34533
Business Practice Address: 2080 S E St
Suite 250 San Bernardino, CA - 924082773
Business Phone Number: 9093831073
Business Fax Number: 9094221073
Mailing Address: 423 Mackay Dr,
SAN BERNARDINO
State: CA
Postal Code: 924083230
Phone Number: 9093831073
Fax Number: 9094221073
NPI Enumeration Date: 04/07/2015
NPI Last Update Date: 04/07/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 167G00000X
License Number: 34533
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Nursing Service Providers
Taxonomy Classification: Licensed Psychiatric Technician
Taxonomy Specialization:
Taxonomy Definition:
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.


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