Organization Active NPI

LM Johnson LLC

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1477608693
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 736 Issued in HI
Legal business name
LM JOHNSON LLC
Practice address
1001 Bishop St
Suite 2870
Honolulu, HI 96813-3429
Phone
(808) 538-7793
Fax
(808) 538-7799
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Leslie Martin Johnson Jr., MBA, PSYD
Title
Owner
Phone
(808) 538-7793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY 736 HI Primary

Addresses

Primary practice location

1001 Bishop St
Suite 2870
Honolulu, HI 96813-3429

Mailing address

1001 Bishop St
Suite 2870
Honolulu, HI 96813-3429
Phone (808) 538-7793

Other identifiers 1

IdentifierTypeStateIssuer
50206402MedicaidHI

Other names 1

  • HAWAII CENTER FOR PSYCHOLOGY Doing business as

National Provider Directory

National Provider Directory

Locations

1001 Bishop St
Ste 925
Honolulu, HI 96813
Phone (808) 538-7793

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1477608693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST",
            "address_2": "SUITE 2870",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133429",
            "telephone_number": "808-538-7793",
            "fax_number": "808-538-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST",
            "address_2": "SUITE 2870",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133429",
            "telephone_number": "808-538-7793",
            "fax_number": "808-538-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LM JOHNSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-538-7793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MBA, PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY 736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50206402",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAWAII CENTER FOR PSYCHOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.