SHANNON A. JOHNSON M.D., PA
NPI 1609103456
Clinic/Center - Adult Mental Health in Bedford, TX

NPI Status: Active since November 14, 2009

Contact Information

3901 AIRPORT FWY
SUITE 320
BEDFORD, TX
ZIP 76021
Phone: (817) 283-7400
Fax: (817) 283-7406

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About SHANNON A. JOHNSON M.D., PA

This page provides the complete NPI Profile along with additional information for Shannon A. Johnson M.d., Pa, a provider established in Bedford, Texas operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1609103456 assigned on November 2009. The practitioner's primary taxonomy code is 261QM0850X with license number K7174 (TX). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Shannon Andrea Johnson M.d. (President)

NPI
1609103456
Provider Name
SHANNON A. JOHNSON M.D., PA
Entity Type
Organization
Location Address
3901 AIRPORT FWY SUITE 320 BEDFORD, TX 76021
Location Phone
(817) 283-7400
Location Fax
(817) 283-7406
Mailing Address
PO BOX 1250 ROWLETT, TX 75030
Mailing Phone
(817) 283-7400
Mailing Fax
(817) 283-7406
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2009
Last Update Date
02-01-2010
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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

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
K7174
License State
TX
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SHANNON ANDREA JOHNSON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(817) 283-7400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H17712MEDICARE UPIN (02)TX 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609103456, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 2 + 0 + 6 + 4 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1609103456.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
3901 AIRPORT FWY, SUITE 320
BEDFORD, TX 76021
Home Health
3901 AIRPORT FWY, SUITE 105
BEDFORD, TX 76021
Counselor (Professional)
3901 AIRPORT FWY, SUITE 230
BEDFORD, TX 76021
Chiropractor
3901 AIRPORT FWY, SUITE 115
BEDFORD, TX 76021
Counselor (Professional)
3901 AIRPORT FWY, SUITE 230
BEDFORD, TX 76021
Specialist
3901 AIRPORT FWY, SUITE 230
BEDFORD, TX 76021
Counselor (Mental Health)
3901 AIRPORT FWY, 107
BEDFORD, TX 76021
Counselor
3901 AIRPORT FWY, #230
BEDFORD, TX 76021
Nurse Practitioner (Psychiatric/Mental Health)
3901 AIRPORT FWY
BEDFORD, TX 76021
Nurse Practitioner (Psychiatric/Mental Health)
3901 AIRPORT FWY
BEDFORD, TX 76021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609103456, enumerated as an "organization" on November 14, 2009.

The provider is located at 3901 AIRPORT FWY SUITE 320 BEDFORD, TX 76021 and the phone number is (817) 283-7400.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.