Active NPI
Perry William Johnston, MSW
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1154421550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 575-123
- Practice address
- 2600 N Mayfair Rd
Suite 850
Milwaukee, WI 53226-1309 - Phone
- (414) 771-2088
- Fax
- (414) 771-6308
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 575-123 | WI | |
| Psychologist | 103T00000X | 435-124 | WI | |
| Clinical Social Worker | 1041C0700X | 575-123 | WI | Primary |
| Marriage & Family Therapist | 106H00000X | 435-124 | WI |
Addresses
Primary practice location
2600 N Mayfair Rd
Suite 850
Milwaukee, WI 53226-1309
Mailing address
2600 North Mayfair Road
Suite 850 Parkland Clinic
Milwaukee, WI 53226
Phone (414) 771-2088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 575-123 | WI | MD | Clinical Social Worker |
| 435-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkland Clinic-Muni H Patel MD SC | Past | Accepting new patients |
Organizations & group practices 1
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)
- Milwaukee, WI
- NPI 1174748628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1154421550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 NORTH MAYFAIR ROAD",
"address_2": "SUITE 850 PARKLAND CLINIC",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53226",
"telephone_number": "414-771-2088",
"fax_number": "414-771-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD",
"address_2": "SUITE 850",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532261309",
"telephone_number": "414-771-2088",
"fax_number": "414-771-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "PERRY",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "575-123",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "435-124",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "575-123",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "435-124",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.