IndividualActive
Donald Johannessen, MD
NPI 1295800142 · Geriatric Psychiatry Physician · New York, NY
Provider details
- NPI number
- 1295800142
- Entity type
- Individual
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 173503 (NY)
Practice location
425 E 79th St
Suite 1e
New York, NY 10021-1037
Phone: (212) 249-4739
Fax: (212) 737-5574
Mailing address
425 E 79th St
New York, NY 10021-1037
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.