Keisha Holley Johnson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35188 Issued in TX

Practice address

11201 Richmond Ave
Suite a-111a
Houston, TX 77082-6653

Phone

(281) 512-4734

Fax

(281) 293-8100

NPI assigned

Aug 3, 2011

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 names 1

• Keisha Lanette Holley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1508144940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 RICHMOND AVE STE A-111A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770826653",
            "telephone_number": "281-512-4734",
            "fax_number": "281-293-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 RICHMOND AVE",
            "address_2": "SUITE A-111A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770826653",
            "telephone_number": "281-512-4734",
            "fax_number": "281-293-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEISHA",
        "middle_name": "HOLLEY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "35188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEISHA",
            "last_name": "HOLLEY",
            "middle_name": "LANETTE",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen O Johnson, OTR
• Kassandra Johnson
• Katie Louise Johnson, LAT, ATC
• Kayla Johnson, RBT
• Kayla Johnson
• Keisha Lynnetta Johnson, MPH, CHES
• Kelle D Johnson, MT
• Kendra Johnson, BSN, RN
• Kenia Johnson, M.A., LPC
• Kevin Johnson

• Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.