Active NPI
Thomas J. Johnston, RN
- Adult Mental Health Clinic/Center
- Brooklyn, NY
National Provider Identifier
1972812733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 329882
- Practice address
- 25 Flatbush Ave
Brooklyn, NY 11217-1101 - Phone
- (718) 875-1420
- Fax
- (718) 875-5496
- NPI assigned
- Sep 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 329882 | NY | Primary |
Addresses
Primary practice location
25 Flatbush Ave
Brooklyn, NY 11217-1101
Mailing address
25 Flatbush Ave
Brooklyn, NY 11217-1101
Phone (718) 875-1420
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 329882 | NY | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1972812733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171101",
"telephone_number": "718-875-1420",
"fax_number": "718-875-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171101",
"telephone_number": "718-875-1420",
"fax_number": "718-875-5496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "THOMAS",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NY",
"license": "329882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.