Individual provider Active NPI

Julius Maurice Johnson, PHD

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1487677589
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8821 Issued in CA
Practice address
3410 Geary Blvd Ste 328
San Francisco, CA 94118-3357
Phone
(415) 905-4557
Fax
(415) 386-4512
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY8821 CA Primary

Addresses

Primary practice location

3410 Geary Blvd Ste 328
San Francisco, CA 94118-3357

Mailing address

3410 Geary Blvd Ste 328
San Francisco, CA 94118-3357
Phone (415) 905-4557

Other identifiers 1

IdentifierTypeStateIssuer
5552813MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000081 CA Practitioner - Clinical Psychologist 0941475818 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3410 Geary Blvd
Suite 328
San Francisco, CA 94118-3357
Phone (415) 386-7789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY8821CAMDClinical Psychologist
8821CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1487677589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 GEARY BLVD STE 328",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183357",
            "telephone_number": "415-905-4557",
            "fax_number": "415-386-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 GEARY BLVD STE 328",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183357",
            "telephone_number": "415-905-4557",
            "fax_number": "415-386-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIUS",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5552813",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.