Jennifer Marie Johnston, LMHC, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9917 Issued in MA

Practice address

1679 Massachusetts Ave
Suite 1
Cambridge, MA 02138-1807

Phone

(617) 803-6885

NPI assigned

Jul 31, 2007

Last updated

Dec 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1184814634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CONCORD AVE APT 43",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383616",
            "telephone_number": "617-803-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 MASSACHUSETTS AVE",
            "address_2": "SUITE 1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381807",
            "telephone_number": "617-803-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "LMHC, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIED MENTAL HEALTH LICE",
            "identifier": "5306",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "LM1021",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Rullan Johnson, MD
• Nancy Taylor Johnson, LMHC
• Nia Noelle Johnson, MSC
• Sarah Johnson, M.D.
• Sarah Emily Johnson, LIC. AC., DIPL. O.M.
• Maureen Johnston, NURSE PRACTITIONER
• Shadi Johnston, LMHC
• Henry Johnstone
• Mary Parker Johnstone
• Joint Ventures Physical Therapy, Inc. (HighBar)

• Clinical Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.