Douglas Christian Johnson, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY21975 Issued in CA

Practice address

8939 Villa la Jolla Dr
Suite #230
La Jolla, CA 92037-1732

Phone

(858) 999-4287

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Joanne M. Hamilton Psychologist a Professional Corporation

  • Clinical Neuropsychologist
  • San Diego, CA
  • NPI 1144428467
  NPD

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1770788697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8939 VILLA LA JOLLA DR",
            "address_2": "SUITE #230",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371732",
            "telephone_number": "858-999-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 VILLA LA JOLLA DR",
            "address_2": "SUITE #230",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371732",
            "telephone_number": "858-999-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DOUGLAS",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY21975",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY21975",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L Otis M D & Michele a Stewart M D Inc
• John M. Hassler, M.D., Inc
• Mira Maria John, MD
• Allen D. Johnson, M.D.
• Christine Leigh Johnson, MD
• James Johnson
• Kristina Rose Johnson, MSN, APRN, FNP-C
• Mark Christopher Johnson, PA-C
• Shannon Johnson
• Lily Johnston, MD MPH

• Clinical Neuropsychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.