Provider Demographics
NPI:1811872914
Name:JOHNSON, SHEILA POYNTER (LP)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:POYNTER
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 121ST ST
Mailing Address - Street 2:
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-1150
Mailing Address - Country:US
Mailing Address - Phone:347-245-1712
Mailing Address - Fax:
Practice Address - Street 1:20 E 110TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-3188
Practice Address - Country:US
Practice Address - Phone:212-470-3162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001168102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst