Active NPI
Woodruff Johnson, PSYD
- Psychologist
- Culver City, CA
National Provider Identifier
1982157392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY27260
- Practice address
- 6133 Bristol Pkwy
Suite 280
Culver City, CA 90230-6609 - Phone
- (310) 892-4427
- NPI assigned
- Aug 2, 2016
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY27260 | CA | Primary |
Addresses
Primary practice location
6133 Bristol Pkwy
Suite 280
Culver City, CA 90230-6609
Mailing address
6133 Bristol Pkwy
Suite 280
Culver City, CA 90230-6609
Phone (310) 892-4427
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 |
|---|---|---|---|
| PSY27260 | CA | MD | Psychologist |
| 27260 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1982157392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6133 BRISTOL PKWY",
"address_2": "SUITE 280",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306609",
"telephone_number": "310-892-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6133 BRISTOL PKWY",
"address_2": "SUITE 280",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306609",
"telephone_number": "310-892-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WOODRUFF",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY27260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.