Individual provider Active NPI

Dione Nicole Johnson, PH.D.

  • Clinical Psychologist
  • Willingboro, NJ
National Provider Identifier
1912044595
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00519OOO Issued in NJ
Practice address
24 Medley LN
Willingboro, NJ 08046-3123
Phone
(240) 625-7674
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS017364 PA
Marriage & Family Therapist 106H00000X 52387 CA
Clinical Psychologist 103TC0700X 35SI00519OOO NJ Primary

Addresses

Primary practice location

24 Medley LN
Willingboro, NJ 08046-3123

Mailing address

24 Medley LN
Willingboro, NJ 08046-3123
Phone (240) 625-7674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180424002860 NJ Practitioner - Clinical Psychologist 6800029661 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Town Square PL
Suite 1203
Jersey City, NJ 07310-2784

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00519OOONJMDClinical Psychologist
PS017364PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Behavioral Health Services PC Clinical CurrentSince Dec 13, 2022 Accepting new patients
Total Life Inc. CurrentSince Jan 6, 2024 Accepting new patients
Supportive Care Psychology of NJ PC Clinical CurrentSince Jun 11, 2018 Accepting new patients
New Jersey Behavioral Health P.C CurrentSince Feb 13, 2024 Accepting new patients
Transformational Healthcare Services CurrentSince Jan 17, 2024 Accepting new patients
Senior Care Therapy LLC Clinical CurrentSince Apr 13, 2018 Accepting new patients
PHC of Buffalo Grove Clinical Psychology Past Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

150 Morristown Rd
Ste 108
Bernardsville, NJ 07924
Phone (844) 259-2366

115 Dutch Lane Rd
Freehold, NJ 07728
Phone (732) 431-7420

123 Highland Ave
Ste G2
Glen Ridge, NJ 07028
Phone (888) 344-4549

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

111 Town Square Pl
Ste 1203
Jersey City, NJ 07310
Phone (888) 344-4549

317 George St
Ste 320
New Brunswick, NJ 08901
Phone (317) 678-7000

560 Berkeley Ave
Orange, NJ 07050
Phone (973) 672-6500

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

231 Warner St
Toms River, NJ 08755
Phone (732) 942-0800

88 Princeton Hightstown Rd
Ste 202
West Windsor, NJ 08550
Phone (609) 497-4900

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1912044595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MEDLEY LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463123",
            "telephone_number": "240-625-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MEDLEY LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463123",
            "telephone_number": "240-625-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DIONE",
        "middle_name": "NICOLE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-05-24",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017364",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52387",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00519OOO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.