Active NPI
Jocelyn O Johnson, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Amherst, MA
National Provider Identifier
1033137237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 187677-PC
- Practice address
- 96 N Pleasant St
Suite 302B
Amherst, MA 01002-1717 - Phone
- (413) 253-2553
- Fax
- (413) 253-2544
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 187677-PC | MA | Primary |
Addresses
Primary practice location
96 N Pleasant St
Suite 302B
Amherst, MA 01002-1717
Mailing address
96 N Pleasant St
Suite 302B
Amherst, MA 01002-1717
Phone (413) 253-2553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1858734 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050831000838 | MA | Practitioner - Certified Clinical Nurse Specialist (CNS) | 4688606460 | Practice locations: Hadley, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 187677-PC | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Psychiatric Associates, LLC | Past | Accepting new patients | |
| Valley Optimal Health, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hadley, MA
- NPI 1841733763
-
- Adult Mental Health Clinic/Center
- Hadley, MA
- NPI 1326550435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033137237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 N PLEASANT ST",
"address_2": "SUITE 302B",
"city": "AMHERST",
"state": "MA",
"postal_code": "010021717",
"telephone_number": "413-253-2553",
"fax_number": "413-253-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 N PLEASANT ST",
"address_2": "SUITE 302B",
"city": "AMHERST",
"state": "MA",
"postal_code": "010021717",
"telephone_number": "413-253-2553",
"fax_number": "413-253-2544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOCELYN",
"middle_name": "O",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "187677-PC",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1858734",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.