Kimberly C. Johnson, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

32578 Issued in TX

Practice address

751 Hebron Pkwy
Suite 305D
Lewisville, TX 75057-5055

Phone

(469) 549-4200

Fax

(469) 549-4201

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kimbelry C. Jones Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson Neuropsychology, PLLCGroup PAC ID 2769515873, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.johnson@direct.myteamcare.com

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.

• Johnson Neuropsychology, PLLC

  • Clinical Neuropsychologist
  • Lewisville, TX
  • NPI 1528396082
  Medicare reassignment Care Compare group NPD Authorized official
• On-Site Psychology Services

  • Clinical Psychologist
  • Lewisville, TX
  • NPI 1134731813

  Clinical Neuropsychologist

  NPD Authorized official
• Cohealth Psychology Services, P.a.

  • Health Service Psychologist
  • Desoto, TX
  • NPI 1720220148
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1962500587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY",
            "address_2": "SUITE 305D",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575055",
            "telephone_number": "469-549-4200",
            "fax_number": "469-549-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY",
            "address_2": "SUITE 305D",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575055",
            "telephone_number": "469-549-4200",
            "fax_number": "469-549-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32578",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "32698",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "32578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBELRY",
            "last_name": "JONES",
            "middle_name": "C.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin E John, PT, DPT
• Saji John, MD
• Johnson Neuropsychology, PLLC
• Delisha Johnson
• Jack Leegon Johnson Jr., M.D.
• Mary Jolene Johnson, MPT
• Mireya Crystal Johnson, M.A., BCBA
• Phaedra Johnson
• Philesha Johnson
• Quinessa Shonte Johnson, PH.D

• Clinical Neuropsychologist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.