Gary Wayne Johnson, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

43807 Issued in CA

Practice address

760 Harrison St
San Francisco, CA 94107-1235

Phone

(415) 836-1789

Fax

(415) 836-1737

NPI assigned

Mar 28, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1588783179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 HARRISON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071235",
            "telephone_number": "415-836-1789",
            "fax_number": "415-836-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 HARRISON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071235",
            "telephone_number": "415-836-1789",
            "fax_number": "415-836-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY",
            "identifier": "1896",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "1896",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth C. Johnson, MD
• Emily Chadwick Johnson, MFTI
• Eric Coleman Johnson, MD
• Gabrielle Johnson
• Gary L Johnson, MA, CMT
• Geraldine Vernette Johnson
• Glenda Lanae Johnson
• Graham Kyle Johnson, D.O
• Hannah Johnson
• Heather Marie Johnson

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.