Luisa Segato Johnson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY10299 Issued in CA

Practice address

5655 Lindero Canyon Rd
#621
Westlake Village, CA 91362-4016

Phone

(805) 370-8500

Fax

(818) 889-6827

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Luisa Segato Brakensiek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790834356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 LINDERO CANYON RD",
            "address_2": "#621",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624016",
            "telephone_number": "805-370-8500",
            "fax_number": "818-889-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 LINDERO CANYON RD",
            "address_2": "#621",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624016",
            "telephone_number": "805-370-8500",
            "fax_number": "818-889-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LUISA",
        "middle_name": "SEGATO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUISA",
            "last_name": "BRAKENSIEK",
            "middle_name": "SEGATO",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John F Grauch MD a Professional Corporation
• Calle Johnson, ATC
• Carol A Johnson, M.A., LMFT
• Keosha Johnson
• Leslie Ann Johnson
• Matthew Johnson, MD
• Melinda Johnson
• Taniah Johnson, AMFT, APCC
• Jeri S. Johnston, MFT, PSY.D
• Jon Fledzinskas Psychology a Professional Corporation

• Clinical Psychologist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.