Sandra L. Johnson, PH.D., Inc. P.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00001328 Issued in WA

Legal business name

SANDRA L. JOHNSON, PH.D., INC. P.S.

Practice address

3245 Fairview Ave. E. Ste. 310
Seattle, WA 98102

Phone

(206) 322-2012

Fax

(206) 322-6897

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandra L Johnson, PH.D.

Title

President

Phone

(206) 322-2012

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124230610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 FAIRVIEW AVE. E. STE. 310",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98102",
            "telephone_number": "206-322-2012",
            "fax_number": "206-322-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 FAIRVIEW AVE. E. STE. 310",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98102",
            "telephone_number": "206-322-2012",
            "fax_number": "206-322-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L. JOHNSON, PH.D., INC. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-322-2012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda M Sandmaier
• Emma Marie Sando, MSW
• Lowah Tonia Sando
• Katherine Ryan Sandoval
• Ramoncita Sandoval, RN
• Maura Sandrock, RD
• Alison Sands, LICSW
• Joshua Sands, PA-S
• Richard Sands, L.D.O.
• Ivar Sandsmark, CDPT

• Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.