MICHELLE JOHNSON
NPI 1962019935
Psychologist - Health Service in Hawthorne, FL

Active since September 24, 2020
22513 SE 61ST AVE, HAWTHORNE, FL 32640(352) 234-5738 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Johnson NPPES

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

MICHELLE JOHNSON (NPI 1962019935) is an individual health service provider in Hawthorne, Florida, licensed in Florida (236912) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1962019935
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameMICHELLE JOHNSON
Location Address22513 SE 61ST AVEHawthorne, FL 32640-3640
Mailing Address22513 Se 61st AveHawthorne, FL 32640-3640 · (352) 234-5738
Sole ProprietorYes
Enumeration DateSeptember 24, 2020
NPPES CertifiedSeptember 24, 2020
NPI 1962019935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License Licensed in FL · 236912
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
22513 SE 61ST AVE, Hawthorne, FL 32640

Other Providers at the Same Location NPPES

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

In Home Supportive Care
22513 SE 61ST AVE
HAWTHORNE, FL 32640

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 Michelle Johnson's NPI number?

The NPI number for Michelle Johnson is 1962019935. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Where is Michelle Johnson located?

Michelle Johnson practices at 22513 SE 61st Ave, Hawthorne, FL 32640. The listed phone number is (352) 234-5738.

What is Michelle Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Michelle Johnson was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.