Timothy Michael Johnson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

2460 W 3Rd St Ste 230
Santa Rosa, CA 95401

Phone

(707) 806-9482

Fax

(833) 211-1388

NPI assigned

Jun 9, 2015

Last updated

Jun 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1184004798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "OCCIDENTAL",
            "state": "CA",
            "postal_code": "954650112",
            "telephone_number": "707-806-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 W 3RD ST STE 230",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95401",
            "telephone_number": "707-806-9482",
            "fax_number": "833-211-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul T Johnson
• Raeanne Johnson
• Sarah Katherine Johnson, REGISTERED NURSE
• Sharon L Johnson, RN208953
• Theresa Carla Negrido Johnson, PMHNP
• Lynn J Johnston, FNP, PNP-C
• Sienna Summer Johnston
• Jon Sterngold MD Inc a Professional Corporation (Bonsana Medical Group)
• Stacy A. Jonas, M.A., RAS
• Jonathan's Son, Inc.

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.