Individual provider Active NPI

Peter Arnold Johnson, M.D.

  • Psychiatry Physician
  • The Woodlands, TX
National Provider Identifier
1710148176
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M1802 Issued in TX
Practice address
719 Sawdust Rd Ste 207
The Woodlands, TX 77380-2970
Phone
(281) 528-1523
Fax
(281) 719-0491
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M1802 TX Primary

Addresses

Primary practice location

719 Sawdust Rd Ste 207
The Woodlands, TX 77380-2970

Mailing address

719 Sawdust Rd Ste 207
The Woodlands, TX 77380-2970
Phone (281) 528-1523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909002069 TX Order and Referring Only - PsychiatryPractitioner - Psychiatry 8820217615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M1802TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter a Johnson MD PA Psychiatry CurrentSince May 16, 2021 Accepting new patients
Lifespring Behavioral Health Psychiatry Current Accepting new patients

Locations

719 Sawdust Rd
Ste 207
The Woodlands, TX 77380
Phone (281) 528-1523

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1710148176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SAWDUST RD STE 207",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802970",
            "telephone_number": "281-528-1523",
            "fax_number": "281-719-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SAWDUST RD STE 207",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802970",
            "telephone_number": "281-528-1523",
            "fax_number": "281-719-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PETER",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M1802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.