KIM L JOHNSON PHD LLC (NPI# 1952546863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952546863 |
| Entity Type | Organization |
| Organization Name | KIM L JOHNSON PHD LLC |
| Practice Address |
1930 S Alma School Rd Suite #b-214 Mesa AZ 85210-3064 |
| Practice Telephone | 4804915501 |
| Mailing Telephone | 4804915501 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |
| Authorized Official Name | DR. KIM L JOHNSON (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 4804915501 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
1796 | AZ | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1796 | AZ | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 1796 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
1930 S ALMA SCHOOL RD SUITE #B-214 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199716 | Anne E. Harris | Psychologist | 1930 S Alma School Rd, Suite B 214, Mesa, AZ 85210-3064 | 2006-01-19 |
| 1528523776 | Icare Home Health Services LLC | Home Health | 1930 S Alma School Rd, Mesa, AZ 85210-3064 | 2019-02-01 |
| 1942788237 | Beacon Psychological and Consulting Services, Pllc | Clinic/Center | 1930 S Alma School Rd, Mesa, AZ 85210-3064 | 2018-07-30 |
| 1245688555 | Loving Care Hospice Inc | Hospice Care, Community Based | 1930 S Alma School Rd, B213, Mesa, AZ 85210-3064 | 2016-05-26 |
| 1649637398 | Steven Bryce Bennett | Psychologist | 1930 S Alma School Rd, Suite A216, Mesa, AZ 85210-3064 | 2016-01-26 |
| 1952706038 | William Kentopp and John J Bodine | Physical Therapist | 1930 S Alma School Rd, Suite A-100, Mesa, AZ 85210-3064 | 2014-10-30 |
| 1215350038 | Companion Home Health of Maricopa, LLC | Home Health | 1930 S Alma School Rd, Suite A-105, Office No. 8, Mesa, AZ 85210-3064 | 2014-01-30 |
| 1487090262 | Shhphx LLC | Home Health | 1930 S Alma School Rd, Suite C205, Mesa, AZ 85210-3064 | 2013-05-20 |
| 1225377237 | Companion Hospice and Palliative Care of Maricopa, LLC | Hospice Care, Community Based | 1930 S Alma School Rd, D105, Mesa, AZ 85210-3064 | 2013-02-11 |
| 1932482288 | Erin Cathleen South | Psychologist | 1930 S Alma School Rd, Unit A216, Mesa, AZ 85210-3064 | 2011-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1417435736 | Evelyn Burrell | Psychologist | 1930 S Alma School Rd Ste B120, Mesa, AZ 85210-3051 | 2018-07-30 |
| 1629554126 | Arizona Intergrated Tele Psychiatry and Tele Medicine Services LLC | Psychologist | 2735 E Main St Ste 2&3, Mesa, AZ 85213-9269 | 2018-07-17 |
| 1609389451 | Stacy E. Lamorgese | Psychologist | 4115 E Valley Auto Dr Ste 208, Mesa, AZ 85206-4612 | 2017-11-14 |
| 1790183200 | Kathleen Devine Bree | Psychologist | 1432 S Dobson Rd Ste 408, Mesa, AZ 85202-4777 | 2014-12-15 |
| 1841599941 | Carmen Lynne Lucia | Psychologist | 2045 S Vineyard Ste 139, Mesa, AZ 85210-6891 | 2011-03-15 |
| 1194920132 | Kay M. Seward | Psychologist | 4449 E Elmwood St, Mesa, AZ 85205-5251 | 2007-06-19 |
| 1922209493 | Tom Richard Ruddy | Psychologist | 2524 S El Paradiso Unit 10, Mesa, AZ 85202-7477 | 2007-05-30 |
| 1538203302 | Mariza Gonzales | Psychologist | 8742 E Luna Ave, Mesa, AZ 85209-5362 | 2007-02-16 |
| Find all providers in MESA | ||||
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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.