Lynn Douglas Johnson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

108316-2501 Issued in UT

Practice address

166 E 5900 S
Ste B-108
Salt Lake City, UT 84107-7257

Phone

(801) 261-1412

Fax

(801) 288-2269

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lynn D. Johnson, PH.D., P.C.

  • Clinical Psychologist
  • Salt Lake City, UT
  • NPI 1457715450
  NPD (past) Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1891709432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 E 5900 S",
            "address_2": "STE B-108",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077257",
            "telephone_number": "801-261-1412",
            "fax_number": "801-288-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E 5900 S",
            "address_2": "STE B-108",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077257",
            "telephone_number": "801-261-1412",
            "fax_number": "801-288-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LYNN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "108316-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leland P. Johnson, MD
• Linda Sue Johnson, APRN
• Linnea Johnson
• Lisa Ann Johnson
• Lorene S Johnson, A.P.R.N.
• Marissa Johnson, DO
• Mark Dale Johnson, MD
• Mark Rolfe Johnson, MD
• Matthew Adam Johnson, RD
• Matthew H Johnson, MD

• Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.