MEDICARE: JOHNSON PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1225961824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSON PSYCHIATRY

Provider Business Mailing Address
First Line	:	PO BOX 68028
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-0028
Country	:	US
Telephone Number	:	317-903-1161
Fax Number	:

Provider Business Practice Location Address
First Line	:	3608 N SUGAR MAPLE DR
Second Line	:
City	:	VINCENNES
State	:	IN
Zip	:	47591-1984
Country	:	US
Telephone Number	:	317-903-1161
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. JUSTIN SEAN JOHNSON
Credential	:	MD, PHD
Telephone Number	:	930-282-9432

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “JOHNSON PSYCHIATRY ” Practice Location

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