Active NPI
Robert W Johansen, MD
- Psychiatry Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD013856E
- Practice address
- 201 State St
Hamot Faculty Specialists
Erie, PA 16550-0002 - Phone
- (814) 877-4922
- Fax
- (814) 877-3622
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD013856E | PA | Primary |
Addresses
Primary practice location
201 State St
Hamot Faculty Specialists
Erie, PA 16550-0002
Mailing address
717 State St
Suite 16, LL
Erie, PA 16501-1341
Phone (814) 877-7100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00170489 | Other | PA | RR MEDICARE |
| 044058 | Other | PA | BLUE SHIELD |
| 110694 | Other | PA | UNISON |
| 0006028030005 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rjohansen1040782@upmc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.89 of 100
- Quality
- 65.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD013856E | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services Inc | Psychiatry | Current | Accepting new patients |
Locations
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
300 State St
Erie, PA 16507
Phone (814) 453-4575
717 State St
Ste 16LL
Erie, PA 16501
Phone (814) 877-7100
201 State St
Erie, PA 16550
Phone (814) 877-2137
300 State St
Ste 209
Erie, PA 16507
Phone (814) 454-5251
200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620
Interoperability endpoints
- rjohansen1040782@upmc.direct-ci.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1528056512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 STATE ST",
"address_2": "SUITE 16, LL",
"city": "ERIE",
"state": "PA",
"postal_code": "165011341",
"telephone_number": "814-877-7100",
"fax_number": "814-877-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 STATE ST",
"address_2": "HAMOT FACULTY SPECIALISTS",
"city": "ERIE",
"state": "PA",
"postal_code": "165500002",
"telephone_number": "814-877-4922",
"fax_number": "814-877-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANSEN",
"first_name": "ROBERT",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD013856E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00170489",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "044058",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "110694",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006028030005",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rjohansen1040782@upmc.direct-ci.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.