Deborah Hazel Johnson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1285 Issued in MD

Practice address

10715 Charter Dr Ste 270
Columbia, MD 21044-2871

Phone

(410) 997-8191

Fax

(301) 384-7415

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1477759405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13709 CASTLE CLIFF WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045473",
            "telephone_number": "301-384-3661",
            "fax_number": "301-384-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 CHARTER DR STE 270",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442871",
            "telephone_number": "410-997-8191",
            "fax_number": "301-384-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBORAH",
        "middle_name": "HAZEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "1285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "492287",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carsan Johnson
• Catreece Christine Johnson
• Collin B Johnson
• Criag Anthony Johnson
• Danielle Johnson
• Deja Johnson, RBT
• Derrick Johnson
• Diamond Johnson, M.S.
• Eanaja Johnson
• Elaine Irene Johnson, PH.D.

• Psychologist in Columbia, MD
• Providers in Columbia, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.