Kim L Johnson PHD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1796 Issued in AZ

Legal business name

KIM L JOHNSON PHD LLC

Practice address

1930 S Alma School Rd
Suite #B-214
Mesa, AZ 85210-3064

Phone

(480) 491-5501

NPI assigned

Dec 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kim L Johnson, PH.D.NPI 1881700961

Title

Licensed Psychologist

Phone

(480) 491-5501

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim L. Johnson, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Mesa, AZ
  • NPI 1881700961
  NPD (past) Authorized official

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1952546863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD",
            "address_2": "SUITE #B-214",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103064",
            "telephone_number": "480-491-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD",
            "address_2": "SUITE #B-214",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103064",
            "telephone_number": "480-491-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM L JOHNSON PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-491-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1796",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "AZ",
            "license": "1796",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AZ",
            "license": "1796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese H Kilgore, MC, LPC
• Hayley Killian
• Jennifer Jo Killigrew, M.S. CCC-SLP
• Luke D Killpack, D.O.
• Elise Kilmer, BME CNIM
• Alexander Serkey Kim, M.D.
• Alyssa Kim, MD
• Haknam Kim, PH.D, L.AC.
• Hayun Kim, ANP-C
• Jae H. Kim, M.D.

• Psychologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.