Active NPI
Rebecca Cowan Johnson, PH.D.
- Psychologist
- Bellingham, WA
National Provider Identifier
1609132141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY 3721
- Practice address
- 1116 Key St
Suite 213
Bellingham, WA 98225-5232 - Phone
- (360) 312-7708
- NPI assigned
- Apr 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY 3721 | WA | Primary |
| Psychologist | 103T00000X | PSY 10631 | CA |
Addresses
Primary practice location
1116 Key St
Suite 213
Bellingham, WA 98225-5232
Mailing address
1259 Copper Crest
Bellingham, WA 98229-3126
Phone (360) 312-7708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 10631 | CA | MD | Psychologist |
| PY 3721 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1609132141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1259 COPPER CREST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982293126",
"telephone_number": "360-312-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 KEY ST",
"address_2": "SUITE 213",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255232",
"telephone_number": "360-312-7708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "REBECCA",
"middle_name": "COWAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY 3721",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 10631",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.