Virginia Johnson PS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2927 Issued in WA

Legal business name

VIRGINIA JOHNSON PS

Practice address

127 E Intercity Ave Ste a
Everett, WA 98208-2732

Phone

(425) 347-7275

Fax

(425) 355-0626

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Virginia Ann Johnson, PH.D.

Title

President

Phone

(425) 347-7275

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1679795637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E INTERCITY AVE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082732",
            "telephone_number": "425-347-7275",
            "fax_number": "425-355-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E INTERCITY AVE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082732",
            "telephone_number": "425-347-7275",
            "fax_number": "425-355-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA JOHNSON PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-347-7275",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "2927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Everett, WA
• Providers in Everett, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.