Matthew L Johnson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME012756 Issued in ME

Practice address

251 Woodford St
Portland, ME 04103-5617

Phone

(207) 773-2828

Fax

(207) 761-8150

NPI assigned

Jan 1, 2007

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Claire Oppenheim LLC

  • Clinical Social Worker
  • Portland, ME
  • NPI 1144466152
  NPD (past)

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1427114537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WOODFORD ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035617",
            "telephone_number": "207-773-2828",
            "fax_number": "207-761-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WOODFORD ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035617",
            "telephone_number": "207-773-2828",
            "fax_number": "207-761-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "ME012756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "040224",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARTIN'S POINT",
            "identifier": "108913",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "100504700",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228090000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer R a Johnson, LCSW
• Jessica Leigh Johnson, FNP
• Jessica Nelson Reade Johnson, RN
• Kaycee Nicole Johnson, CRNA
• Latrice Johnson, MD
• Pamela Lang Johnson, MS, CCC-SLP
• Rosemary Johnson, N.P.
• Samantha Lynn Johnson, CRNA
• Sammantha Johnson
• Sarah Johnson, DO

• Psychiatry Physician in Portland, ME
• Providers in Portland, ME by specialty
• Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.