Organization Active NPI

Thomas W. Johnson, Ed.D., P.C.

  • Psychologist
  • Metuchen, NJ
National Provider Identifier
1437283850
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
03388 Issued in NJ
Legal business name
THOMAS W. JOHNSON, ED.D., P.C.
Practice address
167 Main St
Suite 2B
Metuchen, NJ 08840-2744
Phone
(732) 906-0920
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas William Johnson, ED.DNPI 1063546489
Title
Licensed Psychologist
Phone
(732) 906-0920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 03388 NJ Primary

Addresses

Primary practice location

167 Main St
Suite 2B
Metuchen, NJ 08840-2744

Mailing address

167 Main St
Suite 2B
Metuchen, NJ 08840-2744
Phone (732) 906-0920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420000183 NJ Part B Supplier - Clinic/Group Practice 9830137959 Receives reassigned benefits from 1 practitioner
Practice locations: Morristown, NJ

National Provider Directory

National Provider Directory

Locations

31 Dehart St
Morristown, NJ 07960
Phone (732) 906-0920

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437283850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 MAIN ST",
            "address_2": "SUITE 2B",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402744",
            "telephone_number": "732-906-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 MAIN ST",
            "address_2": "SUITE 2B",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402744",
            "telephone_number": "732-906-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W. JOHNSON, ED.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "732-906-0920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "03388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.