| Emily Thomas Johnson, PHD | |
|
5779 Getwell Rd Ste 3, Southaven, MS 38672-6347 | |
| (662) 510-6507 | |
| (844) 445-7727 |
| Full Name | Emily Thomas Johnson |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 5779 Getwell Rd Ste 3, Southaven, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538376199 | NPI | - | NPPES |
| Q061267 | Medicaid | TN | |
| 02937543 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 46-757 (Mississippi) | Primary |
| 103K00000X | Behavior Analyst | 150002 (Mississippi) | Secondary |
| Entity Name | Behavior, Attention, and Developmental Disabilities Consultants, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902089857 PECOS PAC ID: 9537597356 Enrollment ID: O20200310000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Thomas Johnson, PHD 4628 Union Rd, Sardis, MS 38666-3280 Ph: (662) 487-3188 | Emily Thomas Johnson, PHD 5779 Getwell Rd Ste 3, Southaven, MS 38672-6347 Ph: (662) 510-6507 |
Dr. Patricia Michele Wright, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5627 Getwell Rd, Bldg B, Ste 4, Southaven, MS 38672 Phone: 662-349-2979 Fax: 662-349-2978 |
Sarah Irby, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5960 Getwell Rd Ste 212d, Southaven, MS 38672 Phone: 662-228-0130 Fax: 678-868-2843 |
Olivia Chonte King Deberry, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2103 Ansley Park Ln, Southaven, MS 38672 Phone: 901-240-2955 |
Dr. Dominik Lia Keller, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5915 Getwell Rd Bldg B, Southaven, MS 38672 Phone: 662-349-2979 |
Dr. Shirley Ann Wilson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7165 B Swinnea, Ste 1, Southaven, MS 38671 Phone: 662-349-6658 Fax: 662-349-6856 |
Dr. Paul Sheldon Leonard, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7075 Golden Oaks Loop W, Southaven, MS 38671 Phone: 901-485-1848 Fax: 662-349-3988 |