DR. PHILIP LYNN JOHNSON (NPI# 1831307602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831307602 |
| Entity Type | Individual |
| Full Name | DR. PHILIP LYNN JOHNSON |
| Credential | PH.D. |
| Practice Address |
617 S 48th Ave Yakima WA 98908-3614 |
| Mailing Address |
1016 S 50th Ave Yakima WA 98908-3716 |
| Practice Telephone | 5099662794 |
| Mailing Telephone | 5099663868 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1327 | WA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1327 | WA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1327 | WA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1327 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508202854 | Philip Scott Johnson | Pharmacist | 1051 Claypool Hill Mall Rd Ste 1, Cedar Bluff, VA 24609-8201 | 2013-05-14 |
| 1073757126 | Philip Conger Johnson | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2009-04-20 |
| 1306975263 | Philip James Johnson | Family Medicine | 2418 Lake Ave, Ft Wayne, IN 46805 | 2007-03-05 |
| 1073682100 | Philip Shawn Johnson | Dentist | 4025 W. Bell Rd, Suite 7, Phoenix, AZ 85053-2793 | 2006-11-06 |
| 1366494809 | Philip Quentin Johnson | Orthopaedic Surgery | 2829 University Dr S, Suite 202, Fargo, ND 58103-6050 | 2006-05-16 |
| 1801852405 | Philip Johnson | Specialist/Technologist | 2336 Draper Ave, Ypsilanti, MI 48197-4312 | 2006-04-22 |
| 1467418293 | Philip Evan Preston Johnson | Otolaryngology | 127 Linden Ave, Rutledge, PA 19070-2102 | 2006-04-21 |
| 1740743848 | Philip Kent Johnson | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2019-04-08 |
| 1285198176 | Philip Gayles Johnson | Social Worker | 1044 Alta Vista Rd, Louisville, KY 40205-1758 | 2019-01-25 |
| 1407354681 | Philip Ryan Johnson | Counselor | 3100 W Lake St Ste 210, Minneapolis, MN 55416-4597 | 2018-01-23 |
| Street Address |
617 S 48TH AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881817633 | Andrew D. Whitmont | Psychologist | 11 N 11th Ave Ste 102, Yakima, Yakima, WA 98902-3085 | 2007-04-10 |
| 1912090473 | Emma Joan H Billings | Psychologist | 307 S 12th Ave Ste 21, Yakima, WA 98902 | 2006-10-02 |
| 1831591031 | Steven Olmer | Psychologist | 12 S 8th St, Yakima, WA 98901-3020 | 2014-09-18 |
| 1215280656 | Ruth M Olmer | Psychologist | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2012-10-23 |
| 1093975856 | Michelle Marie Pearson | Psychologist | 918 E Mead Ave, Yakima, WA 98903-3720 | 2008-06-13 |
| 1386707693 | Roland Evan Dougherty | Psychologist | 1701 Creekside Loop, #108, Yakima, WA 98902 | 2006-12-18 |
| 1144389529 | Stephen Allen Younker | Psychologist | 1015 S 40th Ave, 22, Yakima, WA 98908-3806 | 2006-12-08 |
| 1215023742 | Leslie Paul Schneider | Psychologist | 307 S 12th Ave Ste 21, Yakima, WA 98902 | 2006-10-04 |
| 1386690584 | Kirk D Strosahl | Psychologist | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
| 1972103026 | River City Tms, Pllc | Psychologist | 400 S Jefferson St Ste 118, Spokane, WA 99204-3142 | 2020-10-28 |
| 1902411366 | Shanna Drinkwine | Psychologist | 1993 Governor Rd, Bellingham, WA 98229-3413 | 2020-09-12 |
| 1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
| 1487263711 | Tiffany Mohr | Psychologist | 927 College Ln Ne Unit B, Lacey, WA 98516-3740 | 2020-07-22 |
| 1265055172 | Dani Nierenberg Phd Bcb Pllc | Psychologist | 108 Se 124th Ave Ste 12, Vancouver, WA 98684-6015 | 2020-05-27 |
| 1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
| 1003435694 | Jared Newman Kilmer | Psychologist | 12025 115th Ave Ne Ste 215, Kirkland, WA 98034-6943 | 2020-04-13 |
| 1447887427 | Kitsap Peninsula Ocd & Anxiety Services Pllc | Psychologist | 9226 Bay Shore Dr Nw Ste 204, Silverdale, WA 98383-9196 | 2020-03-27 |
| 1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.