Active NPI
Katherine Johanson, PHD
- Clinical Psychologist
- Aurora, CO
National Provider Identifier
1821723651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 12460824-2501
- Practice address
- 1700 Wheeling St # a-211M
Aurora, CO 80045-7211 - Phone
- (701) 527-7612
- NPI assigned
- Jul 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 12460824-2501 | UT | Primary |
Addresses
Primary practice location
1700 Wheeling St # a-211M
Aurora, CO 80045-7211
Mailing address
380 E 3360 S Apt 46
South Salt Lake, UT 84115-4539
Phone (701) 527-7612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12460824-2501 | UT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657929600000",
"number": "1821723651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 E 3360 S APT 46",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841154539",
"telephone_number": "701-527-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 WHEELING ST # A-211M",
"city": "AURORA",
"state": "CO",
"postal_code": "800457211",
"telephone_number": "701-527-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANSON",
"first_name": "KATHERINE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-16",
"last_updated": "2022-07-16",
"certification_date": "2022-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "12460824-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.