Annice Mynnette Johnson-Julian Sr., PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

365139-2501 Issued in UT

Practice address

5235 Glendon St
Murray, UT 84123-8402

Phone

(801) 263-9368

NPI assigned

Mar 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.

• Center for Human Potential

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1366679441
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1639146764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 GLENDON ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841238437",
            "telephone_number": "801-263-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 GLENDON ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841238402",
            "telephone_number": "801-263-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-JULIAN",
        "first_name": "ANNICE",
        "middle_name": "MYNNETTE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "365139-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aileen Johanson, MHS;OTR/L
• Jayla Johanson
• John G. Robinson, M.D., P.C.
• John G. Skedros, M.D. PC
• Whitney Corinne John, APRN
• Austin Niklas Johnson, MD
• Blake Johnson
• Christa Johnson
• Daniel Newel Johnson, MD
• David Lyle Johnson, PA

• Clinical Psychologist in Murray, UT
• Providers in Murray, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.