| Amanda Johnson, PHD | |
|
1123 1st Ave E Ste 200, Newton, IA 50208-3981 | |
| (641) 792-4012 | |
| (641) 791-0697 |
| Full Name | Amanda Johnson |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 16 Years |
| Location | 1123 1st Ave E Ste 200, Newton, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831409770 | NPI | - | NPPES |
| 0069468 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 001202 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capstone Behavioral Healthcare Inc | 0648169573 | 12 |
| Entity Name | Capstone Behavioral Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174598908 PECOS PAC ID: 0648169573 Enrollment ID: O20040310001459 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Johnson, PHD 1123 1st Ave E Ste 200, Newton, IA 50208-3981 Ph: (641) 792-4012 | Amanda Johnson, PHD 1123 1st Ave E Ste 200, Newton, IA 50208-3981 Ph: (641) 792-4012 |
Kathleen Romo, IADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 303 S 2nd Ave W, Newton, IA 50208 Phone: 641-792-0045 | |
Kurosh Rex Shahriari, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 306 N 3rd Ave E, Newton, IA 50208 Phone: 641-792-4012 Fax: 641-791-0697 | |
Dr. Karen J Quinn, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 501 W 3rd St N, Newton, IA 50208 Phone: 641-275-9276 | |
Dr. Keri Lynne Racette, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 306 N 3rd Ave E, Newton, IA 50208 Phone: 641-792-4012 Fax: 641-791-0697 |