Dustin Michael Johnson, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1839 Issued in AL

Practice address

248 E Glenn Ave
Auburn, AL 36830-4818

Phone

(334) 821-3350

Fax

(334) 821-3252

NPI assigned

Apr 9, 2024

Sex

Male

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

Enrolled in AL

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Psychologists, P.C.Group PAC ID 9234151028, 9 clinicians

Practice addresses (Care Compare)

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.

• Clinical Psychologists, P.C.

  • Clinical Psychologist
  • Auburn, AL
  • NPI 1841221272
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1851144810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 E GLENN AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304818",
            "telephone_number": "334-821-3350",
            "fax_number": "334-821-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 E GLENN AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304818",
            "telephone_number": "334-821-3350",
            "fax_number": "334-821-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AL",
            "license": "1839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corina Jimenez-Gomez, PH.D., BCBA-D, LBA
• Jacob Jinks
• John M Hudon, DMD, MHS, PC
• Christina Johnson
• Courtney Kate Johnson, FNP
• Emma Johnson
• Foster Thomas Johnson
• Jared Keith Johnson, PHARM.D., RPH
• Molly Johnson
• William Trey E Johnson III

• Counseling Psychologist in Auburn, AL
• Providers in Auburn, AL by specialty
• Counseling Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.