Patti Lee Johnson, LICENSED CLINICAL PS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY23520 Issued in CA

Practice address

15300 Ventura Blvd.
Suite 502
Sherman Oaks, CA 91403

Phone

(818) 522-2941

Fax

(818) 501-6352

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Patti Lee Sigl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1285774448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD.",
            "address_2": "SUITE 502",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-522-2941",
            "fax_number": "818-501-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD.",
            "address_2": "SUITE 502",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-522-2941",
            "fax_number": "818-501-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PATTI",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "LICENSED CLINICAL PS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23520",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATTI",
            "last_name": "SIGL",
            "middle_name": "LEE",
            "credential": "PSY.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley L Johnson
• Gary Robert Johnson, D.D.S.
• Kaelyn K Johnson
• Margaret Ann Johnson, MFT
• Patricia Diane Johnson, PSY.D., MFT
• Sabree Krista Yvonne Johnson
• Xavier Ariel Johnson
• Jonathan F. Kohan, MD, Inc
• Jonathan Nassos PC
• Adriana Jones

• Psychologist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.