Individual provider Active NPI

Clare Minna Johnson, M.S. ED.

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1518368109
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
001974 Issued in NY
Practice address
1035 Washington Ave Apt 3N
Brooklyn, NY 11225-2472
Phone
(201) 978-7087
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1405631 NY
Behavior Analyst 103K00000X 001974 NY Primary

Addresses

Primary practice location

1035 Washington Ave Apt 3N
Brooklyn, NY 11225-2472

Mailing address

1035 Washington Ave Apt 3N
Brooklyn, NY 11225-2472
Phone (201) 978-7087

Other practice location 1

19 MacDonough St
Apartment 4
Brooklyn, NY 11216-2375
Phone (201) 978-7087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001974NYMDBehavioral Analyst
1405631NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1518368109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 WASHINGTON AVE APT 3N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112252472",
            "telephone_number": "201-978-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 WASHINGTON AVE APT 3N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112252472",
            "telephone_number": "201-978-7087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 MacDonough St",
            "address_2": "Apartment 4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112162375",
            "country_code": "US",
            "telephone_number": "201-978-7087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CLARE",
        "middle_name": "MINNA",
        "credential": "M.S. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1405631",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.