OLIVIA MICHELLE JOHNTRY
NPI 1619337011
Peer Specialist in Bronx, NY

Active since February 26, 2016
1500 WATERS PL, BRONX, NY 10461(929) 348-4492 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Olivia Michelle Johntry NPPES

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

OLIVIA MICHELLE JOHNTRY (NPI 1619337011) is an individual peer specialist in Bronx, New York and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1619337011
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameOLIVIA MICHELLE JOHNTRY
Location Address1500 WATERS PLBronx, NY 10461-2723
Mailing Address3050 White Plains RdBronx, NY 10467-8124 · (929) 348-4492
Sole ProprietorNo
Enumeration DateFebruary 26, 2016
NPI 1619337011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
1500 WATERS PL, Bronx, NY 10461

Other Providers at the Same Location NPPES 20

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

Behavior Technician
1500 WATERS PL
BRONX, NY 10461
Chronic Disease Hospital
1500 WATERS PL
BRONX, NY 10461
Registered Nurse
1500 WATERS PL
BRONX, NY 10461
Psychologist (Clinical)
1500 WATERS PL
BRONX, NY 10461
Dentist
1500 WATERS PL
BRONX, NY 10461
Registered Nurse (Psychiatric/Mental Health)
1500 WATERS PL
BRONX, NY 10461
Nurse Practitioner (Psychiatric/Mental Health)
1500 WATERS PL
BRONX, NY 10461
Registered Nurse (Administrator)
1500 WATERS PL
BRONX, NY 10461

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 Olivia Johntry's NPI number?

The NPI number for Olivia Johntry is 1619337011. It was assigned to this individual provider in the NPPES registry on February 26, 2016.

Where is Olivia Johntry located?

Olivia Johntry practices at 1500 Waters Pl, Bronx, NY 10461. The listed phone number is (929) 348-4492.

What is Olivia Johntry's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Olivia Johntry was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.