Raushannah N. Johnson-Verwayne, PSY. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY003324 Issued in GA

Practice address

3915 Cascade Rd SW
Suite T-90
Atlanta, GA 30331-8512

Phone

(678) 973-2491

Fax

(404) 745-8485

NPI assigned

Oct 6, 2009

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Standard of Care Psychological Services, LLC

  • Psychologist
  • Atlanta, GA
  • NPI 1588925796
  NPD (past) Authorized official
• Uplifting the Community, Inc

  • Community/Behavioral Health Agency
  • Stone Mountain, GA
  • NPI 1689996787
  NPD

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1447585666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WYNFIELD WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316837",
            "telephone_number": "757-879-0639",
            "fax_number": "404-745-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW",
            "address_2": "SUITE T-90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318512",
            "telephone_number": "678-973-2491",
            "fax_number": "404-745-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-VERWAYNE",
        "first_name": "RAUSHANNAH",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA PROFESSIONAL LICENSE",
            "identifier": "PSY003324",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Johns II, MD
• Thomas Bradford Johns, M.D.
• Carl R Johnsey Jr., O.D.
• Shenika Johnson-Giffendan, RN
• Elnora Johnson-Penn, LAPC, NCC
• Abbie Hope Johnson, PA-C
• Alan R Johnson, MD
• Alana Marie Johnson
• Alcuin Q Johnson, PHD
• Alice Olga Johnson, MD

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.