Individual provider Active NPI

Edwin Enoch Johnstone, MD

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1295925287
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D1688 Issued in TX
Practice address
2323 South Shepherd Drive
Suite 908
Houston, TX 77019-7024
Phone
(713) 528-4000
Fax
(713) 528-4004
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D1688 TX Primary

Addresses

Primary practice location

2323 South Shepherd Drive
Suite 908
Houston, TX 77019-7024

Mailing address

2323 South Shepherd Drive
Suite 908
Houston, TX 77019-7024
Phone (713) 528-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D1688TXMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1295925287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 SOUTH SHEPHERD DRIVE",
            "address_2": "SUITE 908",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770197024",
            "telephone_number": "713-528-4000",
            "fax_number": "713-528-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 SOUTH SHEPHERD DRIVE",
            "address_2": "SUITE 908",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770197024",
            "telephone_number": "713-528-4000",
            "fax_number": "713-528-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTONE",
        "first_name": "EDWIN",
        "middle_name": "ENOCH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "D1688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.