Carolyn H Johnson, PSY D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810001859 Issued in VA

Practice address

1630 Donna Drive
Suite 102
Virginia Beach, VA 23451-6188

Phone

(757) 425-5050

Fax

(757) 425-1389

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinical Associates of Tidewater, P.C.

  • Clinical Psychologist
  • Norfolk, VA
  • NPI 1124060314
  NPD (past)
• Psychiatric Services, P.C.

  • Psychologist
  • Virginia Beach, VA
  • NPI 1134283310
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568565174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 DONNA DRIVE",
            "address_2": "SUITE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516188",
            "telephone_number": "757-425-5050",
            "fax_number": "757-425-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 DONNA DRIVE",
            "address_2": "SUITE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516188",
            "telephone_number": "757-425-5050",
            "fax_number": "757-425-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROLYN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810001859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amour M Johnson, M.D.
• Anelisa Johnson, DPT
• April Dawn Johnson, OT
• Arianna Johnson
• Bruce E Johnson, MD
• Cheetara Johnson
• Danielle Johnson
• Desiree Channelle Johnson, PHARMD
• Dolores Lorraine Johnson, NURSE PRACTITIONER
• Emily Elizabeth Johnson, RBT

• Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.