Active NPI
Elizabeth Ann Johnson, PSY.D.
- Psychologist
- Yardley, PA
National Provider Identifier
1699374843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS018412
- Practice address
- 43 South Main St.
Suite 1
Yardley, PA 19067 - Phone
- (267) 422-1561
- NPI assigned
- Oct 20, 2020
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PS018412 | PA | |
| Psychologist | 103T00000X | PS018412 | PA | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | PS018412 | PA | |
| Counseling Psychologist | 103TC1900X | PS018412 | PA | |
| Forensic Psychologist | 103TF0200X | PS018412 | PA | |
| Clinical Psychologist | 103TC0700X | PS018412 | PA |
Addresses
Primary practice location
43 South Main St.
Suite 1
Yardley, PA 19067
Mailing address
742 Mount Royal Ave
Langhorne, PA 19047-3616
Phone (267) 422-1561
Other practice location 1
1700 Sansom St Fl 6
Philadelphia, PA 19103-5214
Phone (215) 625-9655
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018412 | PA | MD | Intellectual & Developmental Disabilities Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Robin Lowey & Associates LLC | Psychologist | Current | Accepting new patients |
| Rla Assessment and Consultation LLC | Psychologist | Past | Accepting new patients |
Locations
1518 Walnut St
Ste 307
Philadelphia, PA 19102
Phone (215) 625-9655
Organizations & group practices 2
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.
-
- Psychologist
- Philadelphia, PA
- NPI 1912979857
-
- Psychologist
- Philadelphia, PA
- NPI 1619835360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1699374843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 MOUNT ROYAL AVE",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190473616",
"telephone_number": "267-422-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 SOUTH MAIN ST.",
"address_2": "SUITE 1",
"city": "YARDLEY",
"state": "PA",
"postal_code": "19067",
"telephone_number": "267-422-1561"
}
],
"practiceLocations": [
{
"address_1": "1700 Sansom St Fl 6",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191035214",
"country_code": "US",
"telephone_number": "215-625-9655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "PA",
"license": "PS018412",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS018412",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "PA",
"license": "PS018412",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS018412",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "PA",
"license": "PS018412",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018412",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.