Active NPI
Elizabeth Johnson
- Psychologist
- San Francisco, CA
National Provider Identifier
1174013957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 30097
- Practice address
- 322 5TH Ave Apt a
San Francisco, CA 94118-2310 - Phone
- (315) 323-3058
- NPI assigned
- May 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 30097 | CA | Primary |
Addresses
Primary practice location
322 5TH Ave Apt a
San Francisco, CA 94118-2310
Mailing address
322 5TH Ave Apt a
San Francisco, CA 94118-2310
Phone (315) 323-3058
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1174013957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 5TH AVE APT A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941182310",
"telephone_number": "315-323-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 5TH AVE APT A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941182310",
"telephone_number": "315-323-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "30097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.