Individual provider Active NPI

William Thomas Joshua Johnson, PHD

  • Clinical Psychologist
  • Cerritos, CA
National Provider Identifier
1760810345
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25976 Issued in CA
Practice address
17315 Studebaker Rd Ste 105
Cerritos, CA 90703-2565
Phone
(562) 999-4707
Fax
(877) 741-9754
NPI assigned
Oct 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 25976 CA Primary

Addresses

Primary practice location

17315 Studebaker Rd Ste 105
Cerritos, CA 90703-2565

Mailing address

17315 Studebaker Rd Ste 105
Cerritos, CA 90703-2565
Phone (562) 999-4707

Other names 1

  • W. Joshua Johnson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140421001901 CA Practitioner - Clinical Psychologist 5890927180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Joshua Johnson Psychologist IncGroup PAC ID 5395008494, 2 clinicians

Practice addresses (Care Compare)

17315 Studebaker Rd
Suite 105
Cerritos, CA 90703-2565
Phone (562) 999-4707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
W Joshua Johnson Psychologist Inc Clinical CurrentSince Jan 26, 2017 Accepting new patients

Locations

18000 Studebaker Rd
Ste 700
Cerritos, CA 90703
Phone (562) 400-6047

17315 Studebaker Rd
Ste 105
Cerritos, CA 90703
Phone (562) 999-4707

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1760810345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17315 STUDEBAKER RD STE 105",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032565",
            "telephone_number": "562-999-4707",
            "fax_number": "877-741-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17315 STUDEBAKER RD STE 105",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032565",
            "telephone_number": "562-999-4707",
            "fax_number": "877-741-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS JOSHUA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-17",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "25976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W.",
            "last_name": "JOHNSON",
            "middle_name": "JOSHUA",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.