| W Joshua Johnson Psychologist Inc | |
|
17315 Studebaker Rd Ste 105 Cerritos CA 90703-2565 | |
| (562) 999-4707 | |
| (877) 741-9754 |
| Full Name | W Joshua Johnson Psychologist Inc |
|---|---|
| Speciality | Psychologist |
| Location | 17315 Studebaker Rd Ste 105, Cerritos, California |
| Authorized Official Name and Position | William Thomas Joshua Johnson (CEO) |
| Authorized Official Contact | 5629994707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| W Joshua Johnson Psychologist Inc 6616 Turnergrove Dr Lakewood CA 90713-2710 Ph: (562) 999-4707 | W Joshua Johnson Psychologist Inc 17315 Studebaker Rd Ste 105 Cerritos CA 90703-2565 Ph: (562) 999-4707 |
| NPI Number | 1992209654 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 5395008494 |
|---|---|
| Medicare Enrollment ID | O20180423002596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992209654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | William T.j Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760810345 PECOS PAC ID: 5890927180 Enrollment ID: I20140421001901 |
| Provider Name | Sara Marie Forster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891297107 PECOS PAC ID: 6709258502 Enrollment ID: I20230203001181 |
| Provider Name | Jenna Leigh Axelrod |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861074502 PECOS PAC ID: 1254732571 Enrollment ID: I20230810000941 |
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