Kermit Johnson is a Psychiatry in Oakland, California. Kermit Johnson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kermit Johnson is 1154533230. The last update date is 2007-07-08.
Kermit Johnson's current location address is 568 W Grand Ave, Oakland, California. You can contact this provider via phone number 5102687837. The mailing address for Kermit Johnson is 568 W Grand Ave, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kermit Johnson |
|---|---|
| Address | 568 W Grand Ave, Oakland, California |
| Phone Number | 5102687837 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1154533230 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 568 W Grand Ave |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946121618 |
| Phone Number | 5102687837 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | G45056 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique identification code assigned to Kermit Johnson by the Centers for Medicare & Medicaid Services?
The Kermit Johnson has been issued the NPI (National Provider Identifier) 1154533230. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kermit Johnson?
The Kermit Johnson is situated at 568 W Grand Ave, in the city of Oakland, state of CA, with the zip code 946121618.
What is Kermit Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kermit Johnson is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date did Kermit Johnson receive its 1154533230 assignment from the Centers for Medicare & Medicaid Services?
The Kermit Johnson was assigned its 1154533230 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kermit Johnson most recently updated or refreshed?
The details pertaining to the Kermit Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY