Individual provider Active NPI

Deon Johnson-Allen, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterbury, CT
National Provider Identifier
1124592274
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7975 Issued in CT
Practice address
88 Grandview Ave
Waterbury, CT 06708-2509
Phone
(203) 573-7265
Fax
(203) 573-7578
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7975 CT Primary

Addresses

Primary practice location

88 Grandview Ave
Waterbury, CT 06708-2509

Mailing address

144C Red Stone HL
Plainville, CT 06062-2667
Phone (718) 938-5277

Other practice location 1

615 W Johnson Ave Ste 202
Cheshire, CT 06410-4532
Phone (860) 384-4660

Other practice location 2

16 Ripton Rd
Shelton, CT 06484-2635
Phone (203) 929-1117

Other identifiers 1

IdentifierTypeStateIssuer
1124592274MedicaidCT

Other names 1

  • Deon Johnson-Allen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20190227001366 CT Practitioner - Nurse Practitioner 9638418197 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christian Counseling and Family Life Center, Inc.Group PAC ID 4688637010, 9 clinicians

Practice addresses (Care Compare)

183 Howe Ave
Shelton, CT 06484-3323
Phone (203) 929-1117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7975CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Nov 23, 2020 Accepting new patients
Johnson-Allen Psychiatry LLC Psychiatric/Mental Health CurrentSince Jun 1, 2021 Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Feb 1, 2019 Accepting new patients
The Christian Counseling and Family Life Center, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Hartford Hospital CurrentSince Nov 23, 2020 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

615 W Johnson Ave
Ste 202
Cheshire, CT 06410
Phone (203) 695-7057

200 Retreat Ave
Hartford, CT 06106
Phone (860) 545-7000

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

1625 Straits Tpke
Ste 211
Middlebury, CT 06762
Phone (203) 573-9512

25 Church St
Shelton, CT 06484
Phone (203) 929-1117

183 Howe Ave
Shelton, CT 06484
Phone (203) 200-0309

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

88 Grandview Ave
Waterbury, CT 06708
Phone (203) 573-6103

71 Raymond Rd
West Hartford, CT 06107
Phone (203) 232-4398

Interoperability endpoints

  • Direct secure messaging: deon.johnsonallen@xdr.hhchealthdirect.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1124592274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144C RED STONE HL",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622667",
            "telephone_number": "718-938-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 GRANDVIEW AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082509",
            "telephone_number": "203-573-7265",
            "fax_number": "203-573-7578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 W Johnson Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064104532",
            "country_code": "US",
            "telephone_number": "860-384-4660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Ripton Rd",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064842635",
            "country_code": "US",
            "telephone_number": "203-929-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-ALLEN",
        "first_name": "DEON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "7975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124592274",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEON",
            "last_name": "JOHNSON-ALLEN",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.