Individual provider Active NPI

J Dennis Johnston, PHD

  • Clinical Neuropsychologist
  • New Britain, CT
National Provider Identifier
1477567816
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
001473 Issued in CT
Practice address
2150 Corbin Ave
New Britain, CT 06053-2266
Phone
(860) 832-6248
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 001473 CT Primary

Addresses

Primary practice location

2150 Corbin Ave
New Britain, CT 06053-2266

Mailing address

2150 Corbin Ave
New Britain, CT 06053-2298
Phone (860) 827-4751

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hfsc@hfsc.allscriptsdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000263 CT Practitioner - Clinical Psychologist 7315082401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital for Special CareGroup PAC ID 7810985637, 51 clinicians

Practice addresses (Care Compare)

2150 Corbin Ave
New Britain, CT 06053-2266
Phone (860) 827-4994

Hospital & facility affiliations

  • Hospital for Special Care Long-term care hospital, New Britain, CT, CCN 072004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001473CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neuropsychological Services, P.C. CurrentSince Feb 23, 1990 Accepting new patients
Hospital for Special Care CurrentSince Oct 22, 1991 Accepting new patients

Locations

1095 S Main St
Cheshire, CT 06410
Phone (203) 271-3809

2150 Corbin Ave
New Britain, CT 06053
Phone (860) 223-2761

Interoperability endpoints

  • FHIR API: https://fhir.hfsc.org/R4/open-Prod
  • Direct secure messaging: hfsc@hfsc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1477567816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 CORBIN AVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532298",
            "telephone_number": "860-827-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 CORBIN AVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532266",
            "telephone_number": "860-832-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "J",
        "middle_name": "DENNIS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "001473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hfsc@hfsc.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Use only for HFSC patients",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2150 Corbin Ave",
            "city": "New Britain",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060532266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.