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DONALD J JOHANNESSEN MD
NPI 1295800142
Psychiatry & Neurology - Geriatric Psychiatry in New York, NY

Active since November 22, 2006Opted out of Medicare · through Apr 1, 2028
425 E 79TH ST, SUITE 1E, NEW YORK, NY 10021(212) 249-4739(212) 737-5574 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Donald J Johannessen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD J JOHANNESSEN MD (NPI 1295800142) is an individual geriatric psychiatry provider in New York, New York, licensed in New York (173503) and active in the NPI registry since November 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295800142
Entity TypeIndividualMale
Primary Taxonomy2084P0805X
Provider Legal NameDONALD J JOHANNESSENCredential: MD
Location Address425 E 79TH ST, SUITE 1ENew York, NY 10021-1037
Mailing Address425 E 79th St, Suite 1eNew York, NY 10021-1037 · (212) 249-4739 · Fax (212) 737-5574
Phone(212) 249-4739
Fax(212) 737-5574
Sole ProprietorYes
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295800142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in NY · 173503
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
425 E 79TH ST, New York, NY 10021
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Other Identifiers 3

Medicare UPINA62260NY
Medicaid1557886NY
Medicare ID-Type Unspecified33E581NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Donald J Johannessen Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2014 through April 1, 2028.

Opt-Out Effective DateApril 1, 2014
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HERBERT H. STEIN M.D.
Psychiatry & Neurology (Psychiatry)
425 E 79TH ST, 1N
NEW YORK, NY 10021
New York County (212) 472-8867
DR. ZDENKA HAUNER- MANLEY DDS
Dentist (General Practice)
425 E 79TH ST, SUITE#1W
NEW YORK, NY 10021
New York County (212) 772-2953
DR. MARINA GENDEL D.D.S.
Dentist (General Practice)
425 E 79TH ST, #1W
NEW YORK, NY 10021
New York County (212) 988-6966

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Johannessen's NPI number?

The NPI number for Donald Johannessen is 1295800142. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Donald Johannessen located?

Donald Johannessen practices at 425 E 79th St Suite 1E, New York, NY 10021. The listed phone number is (212) 249-4739.

What is Donald Johannessen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Donald Johannessen enrolled in Medicare?

No. Donald Johannessen has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Donald Johannessen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.