Organization Active NPI

Sherry E. Johnson, P.C.

  • Psychiatric/Mental Health Registered Nurse
  • Norwell, MA
National Provider Identifier
1952480352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
171110 Issued in MA
Legal business name
SHERRY E. JOHNSON, P.C.
Practice address
200 Cordwainer Dr
Suite 202
Norwell, MA 02061-1671
Phone
(781) 878-6543
Fax
(781) 871-0306
NPI assigned
Nov 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sherry Elizabeth Johnson, BS, RN, MS, PHDNPI 1750460879
Title
PHD Nurse Therapist
Phone
(781) 878-6543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X 171110 MA Primary

Addresses

Primary practice location

200 Cordwainer Dr
Suite 202
Norwell, MA 02061-1671

Mailing address

200 Cordwainer Dr
Suite 202
Norwell, MA 02061-1671
Phone (781) 878-6543

Other identifiers 1

IdentifierTypeStateIssuer
PN0004OtherMABC/BS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952480352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORDWAINER DR",
            "address_2": "SUITE 202",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611671",
            "telephone_number": "781-878-6543",
            "fax_number": "781-871-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORDWAINER DR",
            "address_2": "SUITE 202",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611671",
            "telephone_number": "781-878-6543",
            "fax_number": "781-871-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY E. JOHNSON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHD NURSE THERAPIST",
        "authorized_official_telephone_number": "781-878-6543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BS, RN, MS, PHD"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "171110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "PN0004",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.