Johnathan Vital, PH.D.
NPI 1477810067 · Clinical Neuropsychologist · Waldorf, MD
Johnathan Vital, PH.D. is a Clinical Neuropsychologist provider in Waldorf, MD (NPI 1477810067).
Provider details
- NPI number
- 1477810067
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 04759 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-04-19
- Last updated
- 2012-04-20
Frequently asked questions
- What is Johnathan Vital's NPI number?
- Johnathan Vital's National Provider Identifier (NPI) is 1477810067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnathan Vital's specialty?
- Johnathan Vital is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Johnathan Vital located?
- Johnathan Vital's practice location on file with NPPES is 2413 Altenburg Ct, Waldorf, MD 20603.
- What is Johnathan Vital's phone number?
- The practice phone number listed in the NPPES registry for Johnathan Vital is (301) 653-8828.
- Is Johnathan Vital's NPI active?
- Yes — Johnathan Vital's NPI (1477810067) is active in the NPPES registry as of the last update on 2012-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.