Sandy J Johnson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000029 Issued in NY

Practice address

55 Nesconset Hwy
Port Jefferson Station, NY 11776-2631

Phone

(631) 871-8454

Fax

(631) 689-3774

NPI assigned

Dec 23, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1053476713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SILVER BEECH CT",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117334039",
            "telephone_number": "631-689-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762631",
            "telephone_number": "631-871-8454",
            "fax_number": "631-689-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SANDY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-23",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "1072830",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INS. PROVIDER ID",
            "identifier": "11563006",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Johnson-Hall, MD
• Colleen Breen Johnson, PA-C
• Kathy Marie Johnson, OTR
• Kristin Lynn Johnson, R.N.
• Melissa Johnson, M.S.ED.
• Mary Ellen M Johnston, L-RCSW
• Toni Lee Johnston, NP
• Margaret R Jongebloed
• Leigh Jove, LPN
• Patricia I Juarez, DMD

• Marriage & Family Therapist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.