Johanna White Needham

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

001407 Issued in CT

Practice address

2 Basswood LN
Weatogue, CT 06089-9766

Phone

(860) 670-0722

NPI assigned

May 24, 2021

Last updated

May 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1336714179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BASSWOOD LN",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899766",
            "telephone_number": "860-670-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BASSWOOD LN",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899766",
            "telephone_number": "860-670-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "JOHANNA",
        "middle_name": "WHITE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "001407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Monahan, DPT
• Abigail Mulligan
• Susan Mulligan, OTR/L
• George Allison Murphy, DMD
• Musculoskeletal Health Centers LLC
• Colleen Occhino, SLP
• Donna Olarsch, RPT
• Michelle Palmer, M.S., CCC-SLP
• Elizabeth A Parcella, RD, CSP, CDN
• Kaileigh Perez, OT

• Speech-Language Pathologist in Weatogue, CT
• Providers in Weatogue, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.