Kristine McIver Johnson PHD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1118 Issued in KS

Legal business name

KRISTINE MCIVER JOHNSON PHD LLC

Practice address

1201 Wakarusa Dr BLDG E
Lawrence, KS 66049

Phone

(785) 218-4426

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kristine McIver Johnson, PHD

Title

Owner

Phone

(785) 218-4426

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

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

• Kristine L Johnson, PHD

  • Psychologist
  • Lawrence, KS
  • NPI 1700826195
  Medicare reassignment NPD

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1548759277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 JANA CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR BLDG E",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-218-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE MCIVER JOHNSON PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "MCIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-218-4426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "LP1118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew F Krische, DDS
• Courtney Rochelle Krisher, PA-C
• Linda A Kriss, LSCSW
• Sonja Eleanor Kristiansen, TLMSW
• Kristin Teasdale PHD LLC
• Melanie Krumsick
• Ktaylor Therapy and Supervision LLC
• Tessa Carol Kubiak, P.T.A
• Justin Donald Kuhlman, PT, DPT
• Mina Kuhlmann, PHARMD

• Psychologist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.