Leland P Johansen, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34-00-7049-J Issued in OH

Practice address

11161 Kenwood Rd
Cincinnati, OH 45242-1817

Phone

(513) 769-4600

Fax

(513) 769-0304

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Lifeway Counseling Centers, Inc.

  • Counseling Psychologist
  • Cincinnati, OH
  • NPI 1902837636
  NPD (past)
• State of Ohio Office of Budget and Management State Accounting

  • Nursing Facility/Intermediate Care Facility
  • Sandusky, OH
  • NPI 1790732576
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104830322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11161 KENWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452421817",
            "telephone_number": "513-769-4600",
            "fax_number": "513-769-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 KENWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452421817",
            "telephone_number": "513-769-4600",
            "fax_number": "513-769-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "LELAND",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34-00-7049-J",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Ellison, M.D., L.L.C.
• Joel Golub,DDS,Inc.
• Naomi Eve Joffe, PH.D.
• Stephen Joffe, M.D.
• Jogi Pharmacy Inc
• Matthew Alan Johansen, M.D.
• Janet Johansing, CNP
• Claire A Johantges, LSW
• John a. Gennantonio, DDS and Kathryn Lubitz Stewart, DDS, LLC
• John a. Wiener, OD & Associates, Inc.

• Psychiatry Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.