Cindy Jo Johnson, APRN/BC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

APRN01953 Issued in RI

Practice address

469 Centerville Road
Suite 105
Warwick, RI 02886-4448

Phone

(401) 773-3700

Fax

(401) 773-3701

NPI assigned

May 14, 2007

Last updated

Aug 9, 2024By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Behavioral Health LLCGroup PAC ID 4981048501, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brightside Behavioral Health, LLC

  • Mental Health Counselor
  • Warwick, RI
  • NPI 1255872206
  Medicare reassignment Care Compare group NPD
• Mid-Atlantic Behavioral Health, LLC

  dba LifeStance Health

  • Intellectual & Developmental Disabilities Psychologist
  • Newark, DE
  • NPI 1871719872
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1457566135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE ROAD",
            "address_2": "SUITE 105",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864448",
            "telephone_number": "401-773-3700",
            "fax_number": "401-773-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE ROAD",
            "address_2": "SUITE 105",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864448",
            "telephone_number": "401-773-3700",
            "fax_number": "401-773-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CINDY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "APRN/BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00095300",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN01953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "383882",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John T. Coletti,DDS,LTD
• Nicholas John, PT
• Adam Johnson, LCSW
• Andrew Johnson
• Christian Edgar Johnson Jr.
• Eileen G Johnson, PH.D.
• Johnnie Johnson, LCSW
• Kellie A. Johnson, RN, CDOE
• Maria Renee Gabrielle Johnson, MD
• Mitzie A. Johnson, LCSW

• Psychiatric/Mental Health Clinical Nurse Specialist in Warwick, RI
• Providers in Warwick, RI by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.