Nicole Christine Johnson-Nguyen, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20036 Issued in CA

Practice address

1945 Palo Verde Ave
Long Beach, CA 90815-3443

Phone

(310) 874-4134

NPI assigned

Sep 8, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1306567219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 LOCUST AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072607",
            "telephone_number": "310-874-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 PALO VERDE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153443",
            "telephone_number": "310-874-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-NGUYEN",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "20036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S. Burns, M.D., Occupational Health Partners Medical Group, Inc.
• Jarmaine Kelly Johns, NP
• Kimberly Johnson-Bell
• Gail Johnson-Holtan, LCSW
• Whitney Danielle Johnson-Martin, LCSW
• Alecia M Johnson
• Alexander Johnson, DO
• Alexis Johnson
• Alvis L Johnson II, LVN
• Alyson Johnson

• Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.