Deanna V Johnson, M.S., R.N., APN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

26NR04888600 Issued in NJ

Practice address

10 Brook End Dr
West Orange, NJ 07052-1303

Phone

(973) 325-7345

Fax

(973) 325-3715

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Columbia University College of Physicians and Surgeons, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science, Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holistic Urban Guidance Center, Inc

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • West Orange, NJ
  • NPI 1134396161

  Psychiatric/Mental Health, Adult

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003820994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BROOK END DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521303",
            "telephone_number": "973-325-7345",
            "fax_number": "973-325-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BROOK END DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521303",
            "telephone_number": "973-325-7345",
            "fax_number": "973-325-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEANNA",
        "middle_name": "V",
        "credential": "M.S., R.N., APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NR04888600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8036501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jmi Medical Services LLC
• John N Green, M.D.,PA
• Johnson and Jones, LLC
• Colleen Ellen Johnson, M.S,, R.D.
• Craig Steven Johnson
• George A. Johnson Jr., M.D.
• Marissa Ann Johnson, DC
• Natalie Johnson, M.D.
• Vincent Johnson, DPT
• Evelynn Johnston, NP

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.