MICHAEL JOHNSON
NPI 1295354496
Peer Specialist in Cortland, NY
- Individual
- Male
- Peer Specialist
About MICHAEL JOHNSON
This page provides the complete NPI Profile along with additional information for Michael Johnson, a provider established in Cortland, New York with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1295354496 assigned on April 2020. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1295354496 Verify this NPI
- Provider Name
- MICHAEL JOHNSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 165 MAIN ST STE A CORTLAND, NY 13045
- Location Phone
- (607) 753-0234
- Mailing Address
- 165 MAIN ST STE A CORTLAND, NY 13045
- Mailing Phone
- (607) 753-0234
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-09-2020
- Last Update Date
- 04-09-2020
- Code Navigator
Location Map
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
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License State
- NY
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CORTLAND, NY 13045
CORTLAND, NY 13045
CORTLAND, NY 13045
CORTLAND, NY 13045
CORTLAND, NY 13045
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295354496, enumerated as an "individual" on April 09, 2020.
The provider is located at 165 MAIN ST STE A CORTLAND, NY 13045 and the phone number is (607) 753-0234.
Peer Specialist with taxonomy code 175T00000X.
