Benjamin Erskine Johnson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 00002383 Issued in WA

Practice address

304 Main Ave S
Ste 303
Renton, WA 98057-2758

Phone

(425) 228-7265

Fax

(425) 271-8586

NPI assigned

Feb 10, 2009

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1891934105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MAIN AVE S",
            "address_2": "STE 303",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572758",
            "telephone_number": "425-228-7265",
            "fax_number": "425-271-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN AVE S",
            "address_2": "STE 303",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572758",
            "telephone_number": "425-228-7265",
            "fax_number": "425-271-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BENJAMIN",
        "middle_name": "ERSKINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY 00002383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Michael Johndrow, PHARM.D.
• Andrea L Johnson, OT
• Andrew Miles Johnson, DDS
• Anita Desiree Johnson, SLP
• Arthur Egene Johnson, CDP
• Benjamin Reed Johnson, D.M.D.
• Carl Kenneth Johnson, DDS
• Cheryl Johnson, PHARMACY TECHNICIAN
• Christopher Johnson
• Courtney Lois Johnson, PA-C

• Clinical Psychologist in Renton, WA
• Providers in Renton, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.