Rebecca Mary Johnson, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY003736 Issued in GA

Practice address

480 John Wesley Dobbs Ave NE
Suite 180
Atlanta, GA 30312-5324

Phone

(404) 919-5137

NPI assigned

Jul 21, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Concierge Psychology, PC

  • Psychologist
  • Atlanta, GA
  • NPI 1811682057
  NPD

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1104081934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 JOHN WESLEY DOBBS AVE NE",
            "address_2": "SUITE 180",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303125324",
            "telephone_number": "404-919-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 JOHN WESLEY DOBBS AVE NE",
            "address_2": "SUITE 180",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303125324",
            "telephone_number": "404-919-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Scott Johnson, M.D.
• Peace A. Johnson, PHARMD
• Qourtney Johnson
• Rachel Y Johnson, LMSW
• Racine E Johnson, DPT/OT
• Rebecca Patrice Johnson, LIMFT
• Rene D Johnson
• Richard Benjamin Johnson, M.D.
• Robert D Johnson Jr., PHARMD
• Robert Paul Johnson, MD

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.