Alicia Johnson, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY33151 Issued in CA

Practice address

2961 Summit St Ste C
Oakland, CA 94609-3482

Phone

(510) 982-1000

Fax

(510) 210-9310

NPI assigned

Oct 30, 2015

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1417329384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4096 PIEDMONT AVE # 185",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115221",
            "telephone_number": "510-982-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 SUMMIT ST STE C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093482",
            "telephone_number": "510-982-1000",
            "fax_number": "510-210-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY33151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Jazmin Johnson Escauriza, MD
• Bari Johnson-Glass, AMFT
• Caitlin Francis Johnson-Gottlieb, LMT
• Alan Mark Johnson, MD
• Alice Wessels Johnson, PT
• Amanda Johnson
• Andria Johnson
• Antwonique Johnson
• Autumn Jean Johnson
• Brady Dana Johnson, MD, MPHTM

• Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.