NPIMap

Organization Active NPI

Stancil E.D. Johnson, M.D, a Professional Corporation

  • Psychiatry Physician
  • Carmel, CA
National Provider Identifier
1598039505
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C289350-CA Issued in CA
Legal business name
STANCIL E.D. JOHNSON, M.D, A PROFESSIONAL CORPORATION
Practice address
Junipero St BTWN 4TH & 5TH St
Suite 4
Carmel, CA 93920
Phone
(831) 625-2626
Fax
(831) 625-1245
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Stancil E.D. Johnson, M.D.
Title
Doctor, M.D.
Phone
(831) 625-2626

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X C28935 CA
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X C289350-CA CA Primary

Addresses

Primary practice location

Junipero St BTWN 4TH & 5TH St
Suite 4
Carmel, CA 93920

Mailing address

P.O. Box 5396
Carmel Post Office
Carmel, CA 93921
Phone (831) 625-2626

Other identifiers 1

IdentifierTypeStateIssuer
C289350CAOtherCAMC LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1598039505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5396",
            "address_2": "CARMEL POST OFFICE",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "93921",
            "telephone_number": "831-625-2626",
            "fax_number": "831-625-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JUNIPERO ST BTWN 4TH & 5TH ST",
            "address_2": "SUITE 4",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "93920",
            "telephone_number": "831-625-2626",
            "fax_number": "831-625-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANCIL E.D. JOHNSON, M.D, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STANCIL",
        "authorized_official_middle_name": "E.D.",
        "authorized_official_title_or_position": "DOCTOR, M.D.",
        "authorized_official_telephone_number": "831-625-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C28935",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C289350-CA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC LICENSE",
            "identifier": "C289350CA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.