David Edwin Johnsen, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

538 Issued in OK

Practice address

3601 NW 138TH St
Ste. 201
Oklahoma City, OK 73134-2513

Phone

(405) 755-8576

Fax

(405) 755-6026

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• David Johnsen PHD and Associates PLLC

  • Clinical Psychologist
  • Oklahoma City, OK
  • NPI 1992959001
  Authorized official Same address or phone
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  • Neurological Surgery Physician
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  • NPI 1548239494
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639186448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NW 138TH ST",
            "address_2": "STE. 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342513",
            "telephone_number": "405-755-8576",
            "fax_number": "405-755-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NW 138TH ST",
            "address_2": "STE. 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342513",
            "telephone_number": "405-755-8576",
            "fax_number": "405-755-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "DAVID",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ferrell Johns Johns
• Passion Johns
• Tara Johns
• Brittany Michelle Johnson Chiles, BCBA
• Johnson Family Chiropractic Clinic
• Johnson Family Chiropractic Clinic PC
• Johnson Integrative Health, PLLC
• Jessica L Johnson Scott, M.S., CCC-SLP

• Clinical Psychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Psychologist in Oklahoma

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.