Michael Eugene Johnson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3462 Issued in AZ

Practice address

430 West Warner Road
Suite 104
Tempe, AZ 85284

Phone

(602) 421-7481

Fax

(580) 785-0751

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 15, 2019 through Jan 15, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lighten Your Load, LLC

  • Counseling Psychologist
  • Tempe, AZ
  • NPI 1114164001
  NPD Authorized official

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1386609113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WEST WARNER ROAD",
            "address_2": "SUITE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85284",
            "telephone_number": "602-421-7481",
            "fax_number": "480-785-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WEST WARNER ROAD",
            "address_2": "SUITE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85284",
            "telephone_number": "602-421-7481",
            "fax_number": "580-785-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "3462",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Johnson, DPT
• Lauren Marie Johnson
• Lisa Johnson
• Meredith Johnson
• Michael Johnson, PMHNP
• Sara Gayle Johnson, LMSW
• Sarah Jamie Johnson, ATC
• Sherice Latia Johnson
• Thomas Dale Johnson, PT
• Tyler Johnson

• Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.