Ellen I Johnson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD039807E Issued in PA

Practice address

420 Holmes St
Bellefonte, PA 16823-1401

Phone

(814) 355-6782

Fax

(814) 355-6985

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Integrated Behavioral Healthcare Management Services, Inc.

  • Psychiatry Physician
  • Huntingdon, PA
  • NPI 1457488298
  NPD (past)
• The Pennsylvania State University

  • Hearing and Speech Clinic/Center
  • University Park, PA
  • NPI 1356670608
  NPD (past)
• The Pennsylvania State University

  • Public Health or Welfare Agency
  • University Park, PA
  • NPI 1386784593

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1609972991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HOLMES ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231401",
            "telephone_number": "814-355-6782",
            "fax_number": "814-355-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HOLMES ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231401",
            "telephone_number": "814-355-6782",
            "fax_number": "814-355-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELLEN",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD039807E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "A334449A",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "80118",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE BEHAVIORAL HEALTH",
            "identifier": "100740",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010965340003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd J Isenberg, PTA
• Austin R Jackson
• David Jacobs, D.M.D.
• Jay R Montgomery
• Edith W Johnson, LMFT
• Mia Johnson, PA-C
• Monica Johnson, RN
• Bethany M Jones, CPHT
• Rebecca L Jordan, CRNP
• Journey Center

• Psychiatry Physician in Bellefonte, PA
• Providers in Bellefonte, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.