Organization Active NPI

W Joshua Johnson Psychologist Inc

  • Clinical Psychologist
  • Cerritos, CA
National Provider Identifier
1992209654
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
W JOSHUA JOHNSON PSYCHOLOGIST INC
Practice address
17315 Studebaker Rd Ste 105
Cerritos, CA 90703-2565
Phone
(562) 999-4707
Fax
(877) 741-9754
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Dr. William Thomas Joshua Johnson, PH.D.NPI 1760810345
Title
Ceo
Phone
(562) 999-4707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

17315 Studebaker Rd Ste 105
Cerritos, CA 90703-2565

Mailing address

17315 Studebaker Rd Ste 105
Cerritos, CA 90703-2565
Phone (562) 999-4707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180423002596 CA Part B Supplier - Clinic/Group Practice 5395008494 Receives reassigned benefits from 3 practitioners
Practice locations: Cerritos, CA

National Provider Directory

National Provider Directory

Locations

17315 Studebaker Rd
Ste 105
Cerritos, CA 90703
Phone (562) 999-4707

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1992209654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17315 STUDEBAKER RD STE 105",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032565",
            "telephone_number": "562-999-4707",
            "fax_number": "877-741-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17315 STUDEBAKER RD STE 105",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032565",
            "telephone_number": "562-999-4707",
            "fax_number": "877-741-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W JOSHUA JOHNSON PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THOMAS JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-999-4707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.