Steven Johnston, PSY.D.
Individual provider Active NPI Psychologist · Annandale, NJ
NPI 1831497361 · NPPES record last updated Oct 10, 2012
Key facts
- NPI
- 1831497361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 35S100464900 (NJ)
- Practice address
- 67 Beaver Ave
Suite 9
Annandale, NJ 08801-3071 - Phone
- (908) 200-7058
- Fax
- (908) 200-7059
- NPI assigned
- Mar 8, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100464900 | NJ | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35S100464900 | NJ | Yes |
Addresses
Primary practice location
67 Beaver Ave
Suite 9
Annandale, NJ 08801-3071
Mailing address
67 Beaver Ave
Suite 9
Annandale, NJ 08801-3071
Other providers in Annandale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.