KERMIT JOHNSON NPI 1154533230

Psychiatry & Neurology (Psychiatry) in Oakland, CA

NPI 1154533230 Individual Male Years of Experience 42 Psychiatry & Neurology Psychiatry PECOS Enrolled Accepts Medicare Approved Payment

About KERMIT JOHNSON

Kermit Johnson is a provider established in Oakland, California and his medical specialization is psychiatry & neurology (psychiatry) with more than 42 years of experience. He graduated from University Of Kansas School Of Med (kc/wich/sal) in 1980. The NPI number of Kermit Johnson is 1154533230 and was assigned on May 2007. The practitioner's primary taxonomy code is 2084P0800X with license number G45056 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

A psychiatrist like Kermit Johnson are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Kermit Johnson is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kermit Johnson is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Contra Costa Regional Medical Center.

NPI

1154533230

Provider Name KERMIT JOHNSON
Provider Location Address568 W GRAND AVE OAKLAND, CA 94612
Provider Mailing Address43575 MISSION BLVD # 106 FREMONT, CA 94539
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year1980
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-03-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code2084P0800X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationPsychiatry
License No.G45056
License StateCA
Taxonomy DescriptionA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Business Address

KERMIT JOHNSON
568 W GRAND AVE
OAKLAND, CA
ZIP 94612
Phone: (510) 268-7837

Get Directions


Mailing Address

KERMIT JOHNSON
43575 MISSION BLVD # 106
FREMONT, CA
ZIP 94539
Phone:



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5991896680
PECOS Enrollment IDI20070809000631
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kermit Johnson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CONTRA COSTA REGIONAL MEDICAL CENTER2500 ALHAMBRA AVENUE
MARTINEZ, CA 94553
(925) 370-5000Acute Care Hospitals50276

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861600694MR. GERALD WALKER
Individual
Social Worker568 W GRAND AVE
OAKLAND, CA 94612
(510) 268-7337
1689882417 JOHN MANZOLATI
Individual
Psychologist (Clinical)568 W GRAND AVE
OAKLAND, CA 94612
(510) 268-7837
1003023961 ANTONIA K FOKKEN LMFT
Individual
Marriage & Family Therapist568 W GRAND AVE
OAKLAND, CA 94612
(510) 268-7332
1871701573 TIMOTHY COOPER HENRY LCSW
Individual
Social Worker (Clinical)568 W GRAND AVE
OAKLAND, CA 94612
(510) 268-7837
1902014483MS. EVELYN MICHIKO MIHATA RNMS
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)568 W GRAND AVE
OAKLAND, CA 94612
(510) 268-7469
1235347642 AARON S. COHEN PH.D.
Individual
Psychologist568 W GRAND AVE
OAKLAND, CA 94612
(510) 268-7837
1891904413MR. KEITH RAYMOND OLSON MFT
Individual
Marriage & Family Therapist568 W GRAND AVE
OAKLAND, CA 94612
(510) 268-7837
1801006952DR. MARYANN JACQUELINE D'ONOFRIO PH.D., MFT
Individual
Psychologist (Clinical)568 W GRAND AVE
OAKLAND, CA 94612
(510) 268-7837
1740483452 KEN DAVIS ACSW
Individual
Counselor568 W GRAND AVE
OAKLAND, CA 94612
(510) 268-7837

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.