Dr Keith Phillip Johnson, PHD is a
Clinical Neuropsychologist based in New York, New York. Dr Keith Phillip Johnson is licensed to practice in New York (license number 025658) and his current practice location is
240 E 38th St Fl 15, New York, New York. He can be reached at his office (for appointments etc.) via phone at
(212) 263-6037.
NPI number for Dr Keith Phillip Johnson is 1881382505 and his current mailing address is 240 E 38th St Fl 15, New York, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881382505.
Healthcare Provider's Profile
| Full Name | Dr Keith Phillip Johnson |
|---|
| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 240 E 38th St Fl 15, New York, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881382505
- Provider Enumeration Date: 05/01/2023
- Last Update Date: 05/13/2023
Medical Identifiers
Medical identifiers for Dr Keith Phillip Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881382505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 025658 (New York) | Secondary |
| 103TH0004X | Psychologist - Health | 025658 (New York) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 025658 (New York) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 025658 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keith Phillip Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Keith Phillip Johnson, PHD
240 E 38th St Fl 15,
New York, NY 10016-2708
Ph: (212) 263-6037 | Dr Keith Phillip Johnson, PHD
240 E 38th St Fl 15,
New York, NY 10016-2708
Ph: (212) 263-6037 |
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