Jason a Johnson PSYD LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JASON A JOHNSON PSYD LLC

Practice address

1020 SW Taylor St Ste 245
Portland, OR 97205-2507

Phone

(503) 853-4998

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jason Alan Johnson, PSYDNPI 1669651543

Title

Owner

Phone

(503) 853-4998

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Alan Johnson, PSY.D.

  • Clinical Psychologist
  • Portland, OR
  • NPI 1669651543
  NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1881378487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 245",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052507",
            "telephone_number": "503-853-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 245",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052507",
            "telephone_number": "503-853-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON A JOHNSON PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-853-4998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jarvis
• Sofia Jasani, MS, NCC, LPC INTERN
• Adam Matthew Jaskula, QMHA
• Jasmar Reddin D.C.,P.C.
• Mavis Jasmine, PHARMD
• Jason and Melanie Brown PC
• Jason Care Home LLC
• Jason Care Home LLC
• Jason P. Jarria, MD, PLLC
• Megan Kaye Jasper, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.