MR. JOSEPH A JOHNSON
NPI 1003684317
Prevention Professional in Queen Creek, AZ

Active since December 15, 2023
2791 W MINERAL BUTTE DR, QUEEN CREEK, AZ 85144(623) 703-5765 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Prevention Professional

About JOSEPH JOHNSON

This page provides the complete NPI Profile along with additional information for Joseph Johnson, a provider established in Queen Creek, Arizona with a medical specialization in Prevention Professional. The healthcare provider is registered in the NPI registry with number 1003684317 assigned on December 2023. The practitioner's primary taxonomy code is 405300000X with license number 000000 (AZ). The provider is registered as an individual and his NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1003684317 Verify this NPI
Provider Name
MR. JOSEPH A JOHNSON
Gender
Male
Entity Type
Individual
Location Address
2791 W MINERAL BUTTE DR QUEEN CREEK, AZ 85144
Location Phone
(623) 703-5765
Mailing Address
2791 W MINERAL BUTTE DR QUEEN CREEK, AZ 85144
Mailing Phone
(623) 703-5765
Is Sole Proprietor?
Yes
Enumeration Date
12-15-2023
Last Update Date
12-15-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prevention Professional

Taxonomy Code
405300000X
Type
Other Service Providers
License No.
000000
License State
AZ
Taxonomy Description
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003684317, enumerated as an "individual" on December 15, 2023.

The provider is located at 2791 W MINERAL BUTTE DR QUEEN CREEK, AZ 85144 and the phone number is (623) 703-5765.

Prevention Professional with taxonomy code 405300000X.