Active NPI
Dawn Michelle Johnson, PH.D.
- Psychologist
- Akron, OH
National Provider Identifier
1811084593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5988
- Practice address
- 444 N Main St
Center for Traumatic Stress - Amb BLDG Suite 420
Akron, OH 44310-3110 - Phone
- (330) 379-5094
- Fax
- (330) 379-5095
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5988 | OH | Primary |
Addresses
Primary practice location
444 N Main St
Center for Traumatic Stress - Amb BLDG Suite 420
Akron, OH 44310-3110
Mailing address
444 N Main St
Center for Traumatic Stress - Amb BLDG Suite 420
Akron, OH 44310-3110
Phone (330) 379-5094
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5988 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summa Physicians LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811084593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 N MAIN ST",
"address_2": "CENTER FOR TRAUMATIC STRESS - AMB BLDG SUITE 420",
"city": "AKRON",
"state": "OH",
"postal_code": "443103110",
"telephone_number": "330-379-5094",
"fax_number": "330-379-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 N MAIN ST",
"address_2": "CENTER FOR TRAUMATIC STRESS - AMB BLDG SUITE 420",
"city": "AKRON",
"state": "OH",
"postal_code": "443103110",
"telephone_number": "330-379-5094",
"fax_number": "330-379-5095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DAWN",
"middle_name": "MICHELLE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.