Margory Alice Joehnk, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 15559 Issued in CA

Practice address

3050 Citrus Cir
Suite 114
Walnut Creek, CA 94598-2698

Phone

(925) 451-2054

Fax

(925) 465-5599

NPI assigned

Aug 7, 2006

Last updated

Jul 8, 2007By 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

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 Jul 1, 2019 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386653491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 WITHERSED LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983928",
            "telephone_number": "925-451-2054",
            "fax_number": "925-465-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CITRUS CIR",
            "address_2": "SUITE 114",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982698",
            "telephone_number": "925-451-2054",
            "fax_number": "925-465-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOEHNK",
        "first_name": "MARGORY",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 15559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venessa JN-Baptiste
• Joann H. Dohallow (Pacer Clinic)
• Joanne Jensen DDS Inc
• Shawna Lynn Joaquin, NP-C
• Michael Joe
• Helge Johannessen, MD
• Lincoln Johe, MS
• Jewel Johl, M.D.
• John a Crockett MD a Professional Corporation
• John Lino Gasperoni, PH.D., Psychologist, P.C.

• Clinical Psychologist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.