Michal Lynne Johnson, PHD

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

11417767-2504 Issued in UT

Practice address

9678 S 700 E Ste 102
Sandy, UT 84070-3593

Phone

(801) 576-6444

NPI assigned

Feb 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1841824281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 W JORDAN OAKS CT",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840706653",
            "telephone_number": "801-651-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9678 S 700 E STE 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703593",
            "telephone_number": "801-576-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2760 Rasmussen Rd Ste D210",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840985690",
            "country_code": "US",
            "telephone_number": "435-645-9240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAL",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "UT",
            "license": "11417767-2504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thueson, MD
• Barry Layle Johnson, DDS
• Cheryl Johnson
• Gary D Johnson, R.PH.
• Michael Wynn Johnson, MD
• Patricia Collette Johnson, LCSW
• Randall Kay Johnson, DDS
• Steven Legrand Johnson, LCSW
• Zackary Douglas Johnson, RBT
• Meghan Johnston

• School Psychologist in Sandy, UT
• Providers in Sandy, UT by specialty
• School Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.