IndividualActive
Ian Johnson, MD
NPI 1942763115 · Addiction Psychiatry Physician · Jamaica Plain, MA
Provider details
- NPI number
- 1942763115
- Entity type
- Individual
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1015490 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1153 Centre St
Jamaica Plain, MA 02130-3446
Phone: (617) 983-7474
Approximate (ZIP-level) locationGet directions
Mailing address
1153 Centre St
Jamaica Plain, MA 02130-3446
Registry dates
- Enumerated
- 2019-04-12
- Last updated
- 2024-07-08
- Certified
- 2024-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.