Mary Hart-Johnson, FNP-C, PMHNP-BC

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

License

0024167384 Issued in VA

Practice address

2241M Tacketts Mill Dr
Woodbridge, VA 22192-3029

Phone

(571) 777-0970

Fax

(571) 777-0960

NPI assigned

Aug 27, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Integrated Medical Care and Rehab.,PC

  • Physical Medicine & Rehabilitation Physician
  • Alexandria, VA
  • NPI 1356460331
  NPD (past)
• Medical & Urgent Care Center, PC

  • Internal Medicine Physician
  • Stafford, VA
  • NPI 1164453742
  NPD (past)
• Veritas Behavioral Health, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Woodbridge, VA
  • NPI 1184256513
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1225221815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241M TACKETTS MILL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923029",
            "telephone_number": "571-777-0970",
            "fax_number": "571-777-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241M TACKETTS MILL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923029",
            "telephone_number": "571-777-0970",
            "fax_number": "571-777-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART-JOHNSON",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C,  PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "VA",
            "license": "0024167384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1225221815",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Marissa Harris
• Kierra Bryanna Harris
• Pamela Nadine Harris, LPC, PHD
• Tamela Harrison
• Christy Michelle Harshberger, FNP
• Jaycee Lynn Hart, PA-C
• Patrick Denis Hart, D.D.S.
• Patrick Sheamus Hart, D.M.D.
• Kimberly Ann Hartman, OTR/L, CHT
• Abdul Haseeb Hasan, M.B.B.S

• Behavioral Neurology & Neuropsychiatry Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.