Active NPI
Mark A Johnston, M.D.
- Psychiatry Physician
- Salt Lake City, UT
National Provider Identifier
1659404226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 185388-1205
- Practice address
- 419 Wakara Way
#200
Salt Lake City, UT 84108-1257 - Phone
- (801) 583-1781
- NPI assigned
- Mar 13, 2007
- 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 | 185388-1205 | UT | Primary |
Addresses
Primary practice location
419 Wakara Way
#200
Salt Lake City, UT 84108-1257
Mailing address
555 E 4500 S
C-150
Salt Lake City, UT 84107-4533
Phone (801) 288-0747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185388-1205 | UT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Medical Center Psychiatry | Psychiatry | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1821024217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1659404226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E 4500 S",
"address_2": "C-150",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841074533",
"telephone_number": "801-288-0747",
"fax_number": "801-288-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 WAKARA WAY",
"address_2": "#200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081257",
"telephone_number": "801-583-1781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "MARK",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "185388-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.