Johnson Neuropsychology

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JOHNSON NEUROPSYCHOLOGY

Practice address

2680 E Main St Ste 114
Plainfield, IN 46168-2827

Phone

(317) 426-8055

Fax

(317) 900-1900

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Courtney Beth Johnson, PHD

Title

Owner

Phone

(317) 426-8055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1366059248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 S COUNTY ROAD 700 E",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461689062",
            "telephone_number": "317-426-8055",
            "fax_number": "317-900-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E MAIN ST STE 114",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682827",
            "telephone_number": "317-426-8055",
            "fax_number": "317-900-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON NEUROPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-426-8055",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakiya Jenkins, RBT
• Jaylin Jenkins, RBT
• Frederick Lin Jensen II, D.C.
• John G Blazic DDS Inc
• Morgan Johns, RBT
• Keirsten Anne Johnson-Roath, LCSW
• Courtney Beth Johnson, PHD
• Demetrius Johnson
• Donald Johnson, MD
• Patrice Johnson

• Clinical Psychologist in Plainfield, IN
• Providers in Plainfield, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.