William R. Johnson, PH.D., PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY000541 Issued in GA

Legal business name

WILLIAM R. JOHNSON, PH.D., PC

Practice address

1421 Lee St
Brunswick, GA 31520-7132

Phone

(912) 265-0007

Fax

(912) 261-0593

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William R Johnson, PH.D.

Title

Psychologist/Owner

Phone

(912) 265-0007

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1407019771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 LEE ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207132",
            "telephone_number": "912-265-0007",
            "fax_number": "912-261-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 LEE ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207132",
            "telephone_number": "912-265-0007",
            "fax_number": "912-261-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. JOHNSON, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "912-265-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY000541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00183356C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10044538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Wheeler, PHARMD
• Justin Stanley Whitlow, MD
• Whitney McConnell LLC
• Moeshae Devon Whitten, PATIENT CARE TECH
• Amanda Wilcox-Summers, COTA/L
• Hannah Elizabeth Williams
• Misty Leigh Williams, M.D.
• Renee Elizabeth Williams, O.D.
• Steven Tillman Williams, MD
• Melanie Williamson

• Psychologist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.