Organization Active NPI

Johnson Behavioral Health Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raleigh, NC
National Provider Identifier
1902192834
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JOHNSON BEHAVIORAL HEALTH SERVICES INC.
Practice address
4611 Western Blvd
Raleigh, NC 27606-1815
Phone
(919) 851-4343
Fax
(919) 851-4345
NPI assigned
Jun 20, 2011
Last updated
Jun 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Dr. Renee Johnson, PHD
Title
Ceo / Program Director
Phone
(919) 889-3967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NC Primary

Addresses

Primary practice location

4611 Western Blvd
Raleigh, NC 27606-1815

Mailing address

4611 Western Blvd
Raleigh, NC 27606-1815
Phone (919) 851-4343

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1902192834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 WESTERN BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061815",
            "telephone_number": "919-851-4343",
            "fax_number": "919-851-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 WESTERN BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061815",
            "telephone_number": "919-851-4343",
            "fax_number": "919-851-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON BEHAVIORAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CEO / PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "919-889-3967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.