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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VICTORIA LECORIAN JOHNSON M.D.
NPI 1083094791
Psychiatry & Neurology - Child & Adolescent Psychiatry in Cliffside Park, NJ

Active since June 08, 2015PECOS Enrolled
234 CLIFF ST APT 2, CLIFFSIDE PARK, NJ 07010(551) 210-9290 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2025, Mar 7, 2025, May 16, 2024 and 1 more (4 updates tracked since 2021).

About Victoria Lecorian Johnson M.d. NPPES

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

VICTORIA LECORIAN JOHNSON M.D. (NPI 1083094791) is an individual child & adolescent psychiatry provider in Cliffside Park, New Jersey, licensed in Michigan (EMC0002347) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1083094791
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameVICTORIA LECORIAN JOHNSONCredential: M.D.
Location Address234 CLIFF ST APT 2Cliffside Park, NJ 07010-1564
Mailing Address234 Cliff St Apt 2, Unit 2Cliffside Park, NJ 07010-1564 · (551) 210-9290
Phone(551) 210-9290
Sole ProprietorNo
Enumeration DateJune 8, 2015
Last NPPES UpdateOctober 23, 20264 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1083094791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in MI · EMC0002347✔ Licensed in OR · MD223582✔ Licensed in CA · A184505✔ Licensed in NY · 303597
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License 35.157207 (OH)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 303597 (NY), 25MA11645700 (NJ), EMC0002347 (MI), 35571 (AL), A184505 (CA), 93593 (GA)
234 CLIFF ST APT 2, Cliffside Park, NJ 07010
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Other Names 1

Other Name (5)Victoria L Johnson- Rivers M.d.

Secondary Practice Locations 4

Location 115100 Mack AveGrosse Pointe Park, MI 48230-6202 · Phone (313) 824-4400
Location 2725 Welch RdPalo Alto, CA 94304-1601 · Phone (650) 497-8000
Location 3906 Main AveTillamook, OR 97141-3816 · Phone (503) 842-8201
Location 467670 Traco DrSaint Clairsville, OH 43950-9375 · Phone (740) 695-2131 · Fax (740) 695-7158

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Lecorian Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Victoria Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valera Medical, P.C.
7.0 mi
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Valera Medical PC
  • 315 clinicians in this Medicare group
NPI 1437782349 (646) 450-7748
County Of Lake
722 mi
Federally Qualified Health Center (FQHC)
1840 GREEN BAY RD
Highland Park, IL 60035
  • Reassigned Medicare billing, Illinois enrollment
  • 151 clinicians in this Medicare group
NPI 1285663328 (847) 984-5300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Victoria Johnson's NPI number?

The NPI number for Victoria Johnson is 1083094791. It was assigned to this individual provider in the NPPES registry on June 8, 2015. The provider is also known as Victoria L Johnson- Rivers M.D..

Where is Victoria Johnson located?

Victoria Johnson practices at 234 Cliff St Apt 2, Cliffside Park, NJ 07010. The listed phone number is (551) 210-9290.

What is Victoria Johnson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Victoria Johnson enrolled in Medicare?

Yes. Victoria Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Victoria Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Johnson reassigns Medicare benefits to 2 organizations: Valera Medical, P.C. (Brooklyn, NY) and County Of Lake (Highland Park, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victoria Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Victoria Johnson accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Victoria Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victoria Johnson was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.