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DR. EMILY JOHANSEN PSYD
NPI 1053913426
Psychologist - Clinical in Media, PA

Active since November 11, 2020Opted out of Medicare · through Oct 1, 2027
212 W FRONT ST STE 201, MEDIA, PA 19063(267) 777-8210 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2024, Nov 11, 2020 (2 updates tracked since 2020).

About Dr. Emily Johansen Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMILY JOHANSEN PSYD (NPI 1053913426) is an individual clinical provider in Media, Pennsylvania, licensed in Pennsylvania (PS019163) and active in the NPI registry since November 2020. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1053913426
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EMILY JOHANSENCredential: PSYD
Location Address212 W FRONT ST STE 201Media, PA 19063-3156
Mailing Address212 W Front St Ste 201Media, PA 19063-3156 · (267) 777-8210
Phone(267) 777-8210
Sole ProprietorYes
Enumeration DateNovember 11, 2020
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1053913426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS019163
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
212 W FRONT ST STE 201, Media, PA 19063
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Emily Johansen Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Johansen's NPI number?

The NPI number for Emily Johansen is 1053913426. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Emily Johansen located?

Emily Johansen practices at 212 W Front St Ste 201, Media, PA 19063. The listed phone number is (267) 777-8210.

What is Emily Johansen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Emily Johansen enrolled in Medicare?

No. Emily Johansen has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Emily Johansen was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.