Jamie Smith Johnston, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 8403 Issued in FL

Practice address

1008 Airport Rd Ste D
Destin, FL 32541-2822

Phone

(850) 362-8787

NPI assigned

Oct 3, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Masino Mental Health Services, Inc

  • Psychologist
  • Niceville, FL
  • NPI 1700214228
  NPD (past)
• Masino Therapy Services, LLC

  • Assisted Living Facility (Mental Illness)
  • Destin, FL
  • NPI 1982832614
  NPD (past)

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1689958142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 BROOKS ST SE UNIT B602",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325483740",
            "telephone_number": "850-362-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 AIRPORT RD STE D",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412822",
            "telephone_number": "850-362-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JAMIE",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 8403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Frank Jiannetto, M.D.
• Jill M Allen Arnp LLC
• James Marcus Jimenez, M.D.
• John T. Saeva, D.P.M., P.a.
• David P. Johnson, M.D.
• Sherri Musgrove Johnston, RN
• Rachel Lauren Hidalgo Jozwiak, MM, MT-BC
• Julia Humbarger, LMFT, LLC
• Julia M Nickle LMHC, Inc
• Shaun Kahn, DC

• Psychologist in Destin, FL
• Providers in Destin, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.