NPIMap

Organization Active NPI

Johnson-Allen Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cheshire, CT
National Provider Identifier
1487222006
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JOHNSON-ALLEN PSYCHIATRY LLC
Practice address
615 West Johnson Ave
Suite 202
Cheshire, CT 06410-4532
Phone
(860) 384-4660
NPI assigned
Jun 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Deon Johnson-Allen, APRNNPI 1124592274
Title
Owner
Phone
(860) 384-4660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

615 West Johnson Ave
Suite 202
Cheshire, CT 06410-4532

Mailing address

615 W Johnson Ave Ste 202
Cheshire, CT 06410-4532
Phone (860) 384-4660

Other identifiers 3

IdentifierTypeStateIssuer
008084985MedicaidCT
1487222006MedicaidCT
1124592274MedicaidCT

Other names 1

  • Johnson-Alle Psychiatry Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1487222006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W JOHNSON AVE STE 202",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104532",
            "telephone_number": "860-384-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WEST JOHNSON AVE",
            "address_2": "SUITE 202",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104532",
            "telephone_number": "860-384-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON-ALLEN PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-ALLEN",
        "authorized_official_first_name": "DEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-384-4660",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008084985",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487222006",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124592274",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson-Alle Psychiatry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.