NPIMap

Organization Active NPI

Johnston Psychiatric Associates, P.a.

  • Specialist
  • Clayton, NC
National Provider Identifier
1679511596
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
98-00752 Issued in NC
Legal business name
JOHNSTON PSYCHIATRIC ASSOCIATES, P.A.
Practice address
2076 NC Highway 42 W
Suite 220
Clayton, NC 27520-5302
Phone
(919) 550-3323
Fax
(919) 550-3379
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Dr. Mohammad Y Abu-Salha, M.D.
Title
Owner
Phone
(919) 550-3323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 98-00752 NC Primary

Addresses

Primary practice location

2076 NC Highway 42 W
Suite 220
Clayton, NC 27520-5302

Mailing address

PO Box 187
Clayton, NC 27528-0187
Phone (919) 550-3323

Other identifiers 3

IdentifierTypeStateIssuer
BA5957937OtherNCANESTHESIA LICENSE
5903360MedicaidNC
1165VOtherNCBCBS

National Provider Directory

National Provider Directory

Locations

106 S Ellington St
Clayton, NC 27520
Phone (919) 550-3323

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1679511596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275280187",
            "telephone_number": "919-550-3323",
            "fax_number": "919-550-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 NC HIGHWAY 42 W",
            "address_2": "SUITE 220",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205302",
            "telephone_number": "919-550-3323",
            "fax_number": "919-550-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON PSYCHIATRIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "ABU-SALHA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-550-3323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "98-00752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANESTHESIA LICENSE",
            "identifier": "BA5957937",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903360",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1165V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.