Cris William Johnston, PH.D.
Individual provider Active NPI Clinical Neuropsychologist · Prescott, WI
NPI 1174512644 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1174512644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- 2470-057 (WI)
- Practice address
- 115 Orange St
Prescott, WI 54021-1728 - Phone
- (715) 262-5559
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 0160 | MN | MD | Clinical Neuropsychologist |
| 2470-057 | WI | MD | Clinical Neuropsychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 2470-057 | WI | Yes |
| Clinical Neuropsychologist | 103G00000X | LP 0160 | MN |
Addresses
Primary practice location
115 Orange St
Prescott, WI 54021-1728
Mailing address
W9722 290TH Ave
Hager City, WI 54014-8349
Phone (715) 262-5559
Other providers in Prescott, WI
- Hillary Jane Hunter
- Barbara J. Hutchinson
- Sara Michele Jenkins
- Caitlin Ann Johnson
- Janna M Johnson
- Charles Kaltenberg
- Molly Kapping
- Rebekah Kimlinger
- Amy Marie Krause
- Andrea Lynn Lapcinski
All providers in Prescott, WI · Clinical Neuropsychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.