Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM JOHNSON, MHR, D.MIN, CSAYC
Active Sole ProprietorPsychiatric Residential Treatment Facility · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1508277401
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2014 (11.941765994683 yrs)
- Last Updated
- May 13, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
1404 S STATE AVEINDIANAPOLIS, IN, 462032009Browse IN providers · Browse ZIP 46203
- Phone
- 3177834003
- Fax
- 3177804810
- Primary Specialty
-
Psychiatric Residential Treatment Facility
323P00000X
- Additional Specialty
- Psychiatric Residential Treatment Facility
Other Psychiatric Residential Treatment Facility Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| FREDERICK VANDI | THERAPIST | 1629373048 |
| VERONICA BRIDGES | MS,CSAYC | 1366747685 |
| PATRICK MCNEILL | — | 1518382993 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.