David Read Johnson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0892 Issued in CT

Practice address

19 Edwards St
New Haven, CT 06511-7313

Phone

(203) 624-2146

Fax

(203) 624-2791

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 2, 2023 through Oct 2, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Post Traumatic Stress Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Haven, CT
  • NPI 1972588895

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861559858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EDWARDS ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065117313",
            "telephone_number": "203-624-2146",
            "fax_number": "203-624-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EDWARDS ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065117313",
            "telephone_number": "203-624-2146",
            "fax_number": "203-624-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "READ",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "0892",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "13002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Marie Johnson, AU.D.
• Clinesha Danielle Johnson, M.ED
• Corinne Johnson
• Daniel Yee Johnson
• Darleen D Johnson, APRN
• Dirk C. Johnson, MD
• Erica Dawn Johnson, MD
• Jason Michael Johnson, M.D.
• Jeresha Johnson, RN
• Jessica Linn Johnson, APRN

• Psychologist in New Haven, CT
• Providers in New Haven, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.