David Paul Johnson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9039444-2501 Issued in UT

Practice address

3670 Quincy Ave Ste 105
Ogden, UT 84403-1993

Phone

(801) 781-5733

Fax

(801) 899-6634

NPI assigned

Dec 21, 2011

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

Opted out of Medicare

Yes, effective Feb 10, 2020 through Feb 10, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Ogden Center for Change, LLC

  • Mental Health Counselor
  • Ogden, UT
  • NPI 1417581950

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1881963700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 QUINCY AVE STE 105",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031993",
            "telephone_number": "801-781-5733",
            "fax_number": "801-899-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 QUINCY AVE STE 105",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031993",
            "telephone_number": "801-781-5733",
            "fax_number": "801-899-6634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3544 Lincoln Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844014034",
            "country_code": "US",
            "telephone_number": "801-781-5733 x101",
            "fax_number": "801-781-5733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-21",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1295",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "9039444-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Brandeis Johnson, M.D.
• Amberly Johnson
• Amy Johnson
• Ben R Johnson, RPH
• Celia Johnson
• Emily Johnson
• Eric B Johnson, PA-C
• Harold M Johnson, M.D.
• Jordan Johnson
• Kathryn Lyn Johnson, MSW, LCSW

• Clinical Psychologist in Ogden, UT
• Providers in Ogden, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.