Dr Virginia Johnson, is a
Psychologist - Clinical based in Fresno, California. Dr Virginia Johnson is licensed to practice in California (license number PSY23518) and her current practice location is
516 W Shaw Ave, Fresno, California. She can be reached at her office (for appointments etc.) via phone at
(559) 221-4948.
NPI number for Dr Virginia Johnson is 1124322797 and her current mailing address is 516 W Shaw Ave, Fresno, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124322797.
Healthcare Provider's Profile
| Full Name | Dr Virginia Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 516 W Shaw Ave, Fresno, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124322797
- Provider Enumeration Date: 12/22/2010
- Last Update Date: 12/22/2010
Medical Identifiers
Medical identifiers for Dr Virginia Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124322797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | PSY23518 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY23518 (California) | Secondary |
| 103T00000X | Psychologist | PSY23518 (California) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PSY23518 (California) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | PSY23518 (California) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY23518 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY23518 (California) | Primary |
| 103TC1900X | Psychologist - Counseling | PSY23518 (California) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY23518 (California) | Secondary |
| 103TF0000X | Psychologist - Family | PSY23518 (California) | Secondary |
| 103TF0200X | Psychologist - Forensic | PSY23518 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Virginia Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Virginia Johnson,
516 W Shaw Ave,
Fresno, CA 93704-2515
Ph: (559) 221-4948 | Dr Virginia Johnson,
516 W Shaw Ave,
Fresno, CA 93704-2515
Ph: (559) 221-4948 |
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