Leland Mann Johnston Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

38458 Issued in CO

Practice address

1740 Sumac Ave
Boulder, CO 80304-0814

Phone

(720) 565-1422

Fax

(866) 849-7805

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Leland M Johnston MD PC

  • Psychiatry Physician
  • Boulder, CO
  • NPI 1225215825
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1992844708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 SUMAC AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040814",
            "telephone_number": "720-565-1422",
            "fax_number": "866-849-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SUMAC AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040814",
            "telephone_number": "720-565-1422",
            "fax_number": "866-849-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "LELAND",
        "middle_name": "MANN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "38458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Johnson, M.D.
• Zoe Johnson
• Catherine Lee Johnston, PH.D.
• Holly E Johnston, OTR,CHT
• Juston Johnston, FNP
• Michelle Johnston
• Scott Johnston, CMT
• Steven Johnston
• David Johnstone
• Stephen M Johs, M.D.

• Psychiatry Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.