Active NPI
Christine Lynn Johnston, PSY.D.
- Clinical Psychologist
- Phoenix, AZ
National Provider Identifier
1144473968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3942
- Practice address
- 2500 E Van Buren St
Phoenix, AZ 85008-6037 - Phone
- (602) 220-6191
- NPI assigned
- Oct 23, 2008
- Last updated
- Oct 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10439 | AZ | |
| Professional Counselor | 101YP2500X | 12449 | AZ | |
| Clinical Psychologist | 103TC0700X | 3942 | AZ | Primary |
Addresses
Primary practice location
2500 E Van Buren St
Phoenix, AZ 85008-6037
Mailing address
2346 W Flower St
Phoenix, AZ 85015-5644
Phone (602) 828-7972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10439 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| 3942 | AZ | MD | Child Mental Illness Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224720000000",
"number": "1144473968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2346 W FLOWER ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850155644",
"telephone_number": "602-828-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E VAN BUREN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086037",
"telephone_number": "602-220-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "CHRISTINE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2008-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "10439",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "12449",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.