NPIMap

Organization Active NPI

Deborah K. Johnson & Associates PC

Doing business as Center for Mind&Body Wellness

  • Community/Behavioral Health Agency
  • Minot, ND
National Provider Identifier
1558633362
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
R15247 Issued in ND
Legal business name
DEBORAH K. JOHNSON & ASSOCIATES PC
Doing business as
Center for Mind&Body Wellness
Practice address
1015 S. Broadway
Ste 37
Minot, ND 58701-4667
Phone
(701) 852-3550
Fax
(701) 852-2645
NPI assigned
Feb 9, 2012
Last updated
Feb 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Deborah K Johnson, PHD, APRN, CNSNPI 1104996271
Title
Owner/President
Phone
(701) 852-3550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X R15247 ND Primary

Addresses

Primary practice location

1015 S. Broadway
Ste 37
Minot, ND 58701-4667

Mailing address

1015 S Broadway
Ste 37
Minot, ND 58701-4667
Phone (701) 852-3550

Other names 1

  • Center for Mind&Body Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1015 S Broadway
Ste 37
Minot, ND 58701
Phone (701) 852-3550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1558633362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S BROADWAY",
            "address_2": "STE 37",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014667",
            "telephone_number": "701-852-3550",
            "fax_number": "701-852-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S. BROADWAY",
            "address_2": "STE 37",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014667",
            "telephone_number": "701-852-3550",
            "fax_number": "701-852-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH K. JOHNSON & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "701-852-3550",
        "authorized_official_credential": "PHD, APRN, CNS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ND",
            "license": "R15247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Mind&Body Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.