Nicholas Johnston, MSN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2262099 Issued in MA

Practice address

269 N Main St
Andover, MA 01810-3008

Phone

(978) 494-0175

Fax

(978) 662-5291

NPI assigned

Sep 4, 2014

Sex

Male

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

Enrolled in MA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• New England Center for Mental Health LLC

  • Mental Health Counselor
  • Acton, MA
  • NPI 1346560083
  Medicare reassignment NPD
• Andover Psychiatric PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Andover, MA
  • NPI 1699462812
  NPD Authorized official

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1376944702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018100029",
            "telephone_number": "978-494-0175",
            "fax_number": "978-662-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 N MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103008",
            "telephone_number": "978-494-0175",
            "fax_number": "978-662-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2262099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Jeannot
• Marylou Jelinek, LMHC
• Joan Giallorenzo, LMHC LLC
• Philip Kent Johnson, MD
• Shelby Morgan Johnson, MS, CCLS
• Robert Johnston, MSW, LICSW
• Kristie Ann Jones, LICSW
• Joseph W. Desiato, M.D. PC
• Carmel Joyce
• Cheryl Anne Juba, M.A.

• Psychiatric/Mental Health Nurse Practitioner in Andover, MA
• Providers in Andover, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.