Individual provider Active NPI

Alison W Johnson, PSYD

  • Psychologist
  • Summit, NJ
National Provider Identifier
1730277161
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3292 Issued in NJ
Practice address
51 Summit Ave
Summit, NJ 07901-3613
Phone
(908) 273-5558
Fax
(908) 273-3355
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3292 NJ Primary

Addresses

Primary practice location

51 Summit Ave
Summit, NJ 07901-3613

Mailing address

86 Summit Ave
Summit, NJ 07901-3647
Phone (908) 273-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070326000132 NJ Practitioner - Clinical Psychologist 9234233693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Om Psychological ServicesGroup PAC ID 0446731178, 11 clinicians
Summit Psychological Services PAGroup PAC ID 9032213483, 12 clinicians

Practice addresses (Care Compare)

482 Springfield Ave
2ND Floor
Summit, NJ 07901-3647

482 Springfield Ave
FL 2
Summit, NJ 07901-2601
Phone (908) 273-5558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3292NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Om Psychological Services CurrentSince Mar 1, 2026 Accepting new patients
Summit Psychological Services PA Psychologist CurrentSince Feb 1, 2007 Accepting new patients

Locations

466 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 857-0567

482 Springfield Ave
Fl 2
Summit, NJ 07901
Phone (908) 273-5558

51 Summit Ave
Summit, NJ 07901
Phone (908) 273-5558

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1730277161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013647",
            "telephone_number": "908-273-5558",
            "fax_number": "908-273-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013613",
            "telephone_number": "908-273-5558",
            "fax_number": "908-273-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALISON",
        "middle_name": "W",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.