Active NPI
Barbara R Johnson, PH.D.
- Clinical Psychologist
- Birmingham, AL
National Provider Identifier
1851472492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 279
- Practice address
- 101 Eagle Ridge Dr
Birmingham, AL 35242-5319 - Phone
- (205) 437-3530
- Fax
- (205) 437-0842
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 279 | AL | Primary |
Addresses
Primary practice location
101 Eagle Ridge Dr
Birmingham, AL 35242-5319
Mailing address
101 Eagle Ridge Dr
Birmingham, AL 35242-5319
Phone (205) 437-3530
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97018 | Other | AL | BLUE CROSS PROVIDER NUMBE |
| 99728 | Other | AL | AMERICAN BEHAVIORAL PR. N |
| A297541 | Other | AL | VALUE OPTION |
| 0004353142 | Other | AL | AETNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1851472492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 EAGLE RIDGE DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425319",
"telephone_number": "205-437-3530",
"fax_number": "205-437-0842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 EAGLE RIDGE DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425319",
"telephone_number": "205-437-3530",
"fax_number": "205-437-0842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BARBARA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "97018",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BEHAVIORAL PR. N",
"identifier": "99728",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTION",
"identifier": "A297541",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004353142",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.