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

Active since June 08, 2015PECOS Enrolled
804 FAIRVIEW LN APT 2, FORT LEE, NJ 07024(478) 719-7682(551) 236-2513 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 Fort Lee, New Jersey, licensed in Michigan (EMC0002347) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1083094791
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameVICTORIA LECORIAN JOHNSONCredential: M.D.
Location Address804 FAIRVIEW LN APT 2Fort Lee, NJ 07024-1568
Mailing Address804 Fairview Ln Apt 2Fort Lee, NJ 07024-1568 · (478) 719-7682 · Fax (551) 236-2513
Fax(551) 236-2513
Sole ProprietorNo
Enumeration DateJune 8, 2015
Last NPPES UpdateOctober 12, 20254 updates tracked since enumeration
NPPES CertifiedOctober 12, 2025
NPI 1083094791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses Licensed in MI · EMC0002347 Licensed in OR · MD223582 Licensed in NY · 303597 Licensed in CA · A184505
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 · PsychiatryTaxonomy 2084P0800X · License 35571 (AL), A184505 (CA), 25MA11645700 (NJ), EMC0002347 (MI), 303597 (NY), 93593 (GA)
804 FAIRVIEW LN APT 2, Fort Lee, NJ 07024

Other Names 1

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

Secondary Practice Locations 3

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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 804 Fairview Ln Apt 2, Fort Lee, NJ 07024. The listed phone number is (478) 719-7682.

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.

What insurance does Victoria Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and Providence Health Plan and 3 other insurers 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 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.