Elizabeth Johnson, PHD., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ELIZABETH JOHNSON, PHD., LLC

Practice address

12105 Ambassador Dr
Colorado Springs, CO 80921-3642

Phone

(888) 948-6789

Fax

(877) 345-3511

NPI assigned

Mar 10, 2020

Last updated

Mar 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth A Johnson, PHD

Title

Owner

Phone

(307) 286-2851

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1902431927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 ROBB ST STE 201",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332162",
            "telephone_number": "888-948-6789",
            "fax_number": "877-345-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 AMBASSADOR DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213642",
            "telephone_number": "888-948-6789",
            "fax_number": "877-345-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH JOHNSON, PHD., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-286-2851",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Johnson PHD, LLC
• Elizabeth Johnson, PHD., LLC
• Elizabeth Johnson, PHD., LLC
• Elizabeth Johnson, PHD., LLC
• Elizabeth Johnson, PHD., LLC
• Elizabeth Ostendorf LLC (Colorado Behavior and Learning Group)
• Elizabeth Ostendorf LLC (Colorado Behavior and Learning Group)
• Elizabeth Ostendorf LLC
• Elizabeth Ostendorf LLC (Colorado Behavior and Learning Group)
• Elizabeth Ostendorf LLC (Colorado Behavior and Learning Group)

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.