Ingeborg Johannssen-Schultz, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

001502 Issued in CT

Practice address

41 Kenosia Ave
Suite 201
Danbury, CT 06810-7360

Phone

(203) 744-2243

Fax

(203) 798-1513

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Inge Johannssen-Schultz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Harris Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwalk, CT
  • NPI 1093913154
  NPD (past)
• Medoptions Behavioral Health Assoc, LLC

  • Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1588604060
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568517142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 OLD FARM RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068122623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 KENOSIA AVE",
            "address_2": "SUITE 201",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107360",
            "telephone_number": "203-744-2243",
            "fax_number": "203-798-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNSSEN-SCHULTZ",
        "first_name": "INGEBORG",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "001502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGE",
            "last_name": "JOHANNSSEN-SCHULTZ",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dinilio De Jesus Jimenez, MSW
• Eric Jimenez, M.D.
• Floribeth Espinoza Jimenez, MS, LADC
• Clarissa De Jesus Jiminian Duran
• JLG Dental LLC
• Romy Avoline Johnson-Pina, APRN
• Candace Johnson, LCSW
• Dava Naomi Johnson, MS NCC LPC
• David Johnston, MSW
• Peyton Webb Joiner, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Danbury, CT
• Providers in Danbury, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.