Active NPI
Arik Johnson, PSY.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1912134677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY22217
- Practice address
- 300 UCLA Medical PLZ
Suite B200
Los Angeles, CA 90095-8346 - Phone
- (310) 825-4989
- NPI assigned
- Jun 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY22217 | CA | Primary |
Addresses
Primary practice location
300 UCLA Medical PLZ
Suite B200
Los Angeles, CA 90095-8346
Mailing address
PO Box 480489
Los Angeles, CA 90048-1489
Phone (323) 868-9567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00PSY222170 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22217 | CA | MD | Clinical Psychologist |
| 22217 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1912134677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 480489",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900481489",
"telephone_number": "323-868-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 UCLA MEDICAL PLZ",
"address_2": "SUITE B200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958346",
"telephone_number": "310-825-4989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ARIK",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-19",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY22217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00PSY222170",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.