Suasor Mentis, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD00021214 Issued in WA

Legal business name

SUASOR MENTIS, PLLC

Practice address

362 S 3Rd Ave
Walla Walla, WA 99362-3037

Phone

(509) 301-6384

Fax

(509) 529-0795

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Arnold Johnson, M. D.

Title

Owner

Phone

(509) 301-6384

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1861688392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620009",
            "telephone_number": "509-301-6384",
            "fax_number": "509-529-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 S 3RD AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623037",
            "telephone_number": "509-301-6384",
            "fax_number": "509-529-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUASOR MENTIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-301-6384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00021214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleksandra Strugalska, DPT
• Stuart Dental LLC
• Geoff Stuart, DDS
• Student Health Options
• Jesse Styner
• Derek E Sucharda, PAC
• Kyle Sullivan, DMD
• Haley Elizabeth Sumner
• Andi Lee Sundberg
• Richard Jon Sundberg, D.D.S.

• Psychiatry Physician in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.