Active NPI
Jermaine Johnson, ED.S.
- Psychologist
- Wesley Chapel, FL
National Provider Identifier
1700329489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 5452 Treig LN
Wesley Chapel, FL 33545 - Phone
- (813) 361-5628
- NPI assigned
- Nov 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counseling Psychologist | 103TC1900X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
5452 Treig LN
Wesley Chapel, FL 33545
Mailing address
5450 Bruce B Downs Blvd Suite 328
Wesley Chapel, FL 33544
Phone (813) 361-5628
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1700329489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 BRUCE B DOWNS BLVD SUITE 328",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "33544",
"telephone_number": "813-361-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5452 TREIG LN",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "33545",
"telephone_number": "813-361-5628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JERMAINE",
"name_prefix": "Mr.",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-29",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.