Vicki Yvette Johnson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810006968 Issued in VA

Practice address

17521 Tripoli BL.
Dumfries, VA 22026

Phone

(703) 441-8000

Fax

(703) 441-1400

NPI assigned

Mar 10, 2006

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vick Johns Counseling & Consulting

  • Community/Behavioral Health Agency
  • Woodbridge, VA
  • NPI 1720457807
  Authorized official Same address or phone
• Vick Johns Counseling & Consulting

  • Community/Behavioral Health Agency
  • Woodbridge, VA
  • NPI 1871963991
  NPD (past) Authorized official

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1730157207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16354 RUSTY RUDDER DRIVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-398-9381",
            "fax_number": "703-441-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17521 TRIPOLI BL.",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "22026",
            "telephone_number": "703-441-8000",
            "fax_number": "703-441-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICKI",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LC50077703",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Iqbal
• J. David Alachnowicz DDS PC
• Jeffrey I Wynn OD LTD
• Maura Ann Jensen, RN
• Joanne M Johnson, LPC
• Aminah L Jones, M.D.
• Devarda C Jones, LCSW
• Edwina Jones, RBT
• Aisha Kamara
• Ernest Patrick Kamara, PHARM.D.

• Clinical Psychologist in Dumfries, VA
• Providers in Dumfries, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.