Eric W Johnson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-004622 Issued in AZ

Practice address

6677 W Thunderbird Rd Ste D148
Glendale, AZ 85306

Phone

(602) 612-5004

Fax

(602) 843-0044

NPI assigned

Jun 8, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Az Integrated Neuro Spine and Pain LLCGroup PAC ID 5597027516, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

7.5 of 100Reported as individual

Quality

15

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGIDBD/Endpoint/BGIDBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Az Integrated Neuro Spine & Pain LLC

  • Neurology Physician
  • Sun City, AZ
  • NPI 1487155354
  Medicare reassignment Care Compare group
• Premier Neurology Institute

  • Neurology Physician
  • Glendale, AZ
  • NPI 1376255984
  NPD
• Cervical Spine Centers, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Glendale, AZ
  • NPI 1780062133
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1023338423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE D148",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063769",
            "telephone_number": "602-612-5004",
            "fax_number": "602-843-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE D148",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "602-612-5004",
            "fax_number": "602-843-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14780 W. Mountain View Blvd.",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853747280",
            "country_code": "US",
            "telephone_number": "623-374-7774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14780 W. Mountain View Blvd.",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853747280",
            "country_code": "US",
            "telephone_number": "623-374-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "W",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016730",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-004622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Dmya Johnson
• Darry S Johnson, MD
• Darryl E Johnson, M.A., F.A,A.A.
• David C Johnson, DC, MUAC
• Dennis Allen Johnson, DMD
• Erik Johnson, OTR/L
• Kaitlyn Johnson
• Katherine Johnson, PHARM D
• Kelly Johnson, LCSW
• Kelly Elizabeth Johnson

• Clinical Psychologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.