Active NPI
Denise M. Williams Johnson, PH.D.
- Clinical Psychologist
- East Orange, NJ
National Provider Identifier
1386656478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35S100288800
- Practice address
- 185 Central Ave
Suite 615
East Orange, NJ 07018-3332 - Phone
- (973) 675-9200
- Fax
- (973) 678-8432
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35S100288800 | NJ | Primary |
Addresses
Primary practice location
185 Central Ave
Suite 615
East Orange, NJ 07018-3332
Mailing address
185 Central Ave
Suite 615
East Orange, NJ 07018-3332
Phone (973) 675-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100288800 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel E Williams PHD PA | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1386656478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 CENTRAL AVE",
"address_2": "SUITE 615",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070183332",
"telephone_number": "973-675-9200",
"fax_number": "973-678-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 CENTRAL AVE",
"address_2": "SUITE 615",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070183332",
"telephone_number": "973-675-9200",
"fax_number": "973-678-8432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DENISE",
"middle_name": "M. WILLIAMS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100288800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
- Johnson & Associates Counseling & Consultation Group, PC
- Johnson & Associates Counselng Consultation
- Johnson and Associates Counseling and Consultation Group PC
- Gloria Thora Johnson Appleton
- Amanda Johnson
- Destiny Chantel Johnson, RDN
- Lashanda Taniesha Johnson, M.S. MFT
- Lynnette Johnson, PH.D.
- Maria Angela Johnson, 26NJ00539700
- Nasheira Dylanna Johnson, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.