Mr Michael D Johnston, PHD | |
311 Allumbaugh St, Boise, ID 83704-9208 | |
(208) 375-6402 | |
(208) 323-1850 |
Full Name | Mr Michael D Johnston |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 27 Years |
Location | 311 Allumbaugh St, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346394913 | NPI | - | NPPES |
0000100175 | Other | ID | REGENCE BLUE SHIELD |
N9535 | Other | ID | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY-359 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain States Counseling And Psychological Services Plll | 6002999570 | 3 |
Entity Name | Mountain States Counseling & Psychological Services Plll |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598959322 PECOS PAC ID: 6002999570 Enrollment ID: O20080207000455 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael D Johnston, PHD 311 Allumbaugh St, Boise, ID 83704-9208 Ph: (208) 375-6402 | Mr Michael D Johnston, PHD 311 Allumbaugh St, Boise, ID 83704-9208 Ph: (208) 375-6402 |
Dr. Barbara Alison Minton, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1403 W Franklin St, Boise, ID 83702 Phone: 208-867-4048 | |
Dr. Winslow Gregory Gerrish, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Ann Decker Trotter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 | |
Andrea Zambukos, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3324 Elder St., Boise, ID 83705 Phone: 208-333-0008 | |
Mark E. Snow, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 311 N. Allumbaugh St, Boise, ID 83704 Phone: 208-375-6402 Fax: 208-323-1850 | |
Dr. Heidi Rachelle Tennyson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1755 N Westgate Dr Ste 260, Boise, ID 83704 Phone: 208-373-0790 Fax: 208-373-0816 | |
Dr. Christine Dee Isaacs, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 W Hays St, Boise, ID 83702 Phone: 208-343-4208 |