IndividualActive
Amy Johnson, MD
NPI 1407472400 · Psychiatry Physician · Providence, RI
Provider details
- NPI number
- 1407472400
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- LP05101 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
345 Blackstone Blvd
Providence, RI 02906-4800
Phone: (401) 455-6200
Approximate (ZIP-level) locationGet directions
Mailing address
345 Blackstone Blvd
Providence, RI 02906-4800
Registry dates
- Enumerated
- 2020-06-25
- Last updated
- 2020-06-25
- Certified
- 2020-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.