DR. LISA MARIE JOHNSON PH.D.
NPI 1114126810
Psychologist - Clinical in Oakland, CA

Q: What is Lisa Johnson's NPI number?

The NPI number for Lisa Johnson is 1114126810. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Q: What is Lisa Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Johnson was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 12, 2007

747 52ND ST, PSYCHIATRY/CASTLEMONT, OAKLAND, CA 94609(510) 428-3885 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Lisa Marie Johnson Ph.d. NPPES

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

DR. LISA MARIE JOHNSON PH.D. (NPI 1114126810) is an individual clinical provider in Oakland, California, licensed in California (PSY21584) and active in the NPI registry since July 2007. She maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1114126810

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LISA MARIE JOHNSONCredential: PH.D.

Location Address747 52ND ST, PSYCHIATRY/CASTLEMONTOakland, CA 94609-1809

Mailing Address2921 Havenscourt BlvdOakland, CA 94605-2024 · (510) 209-4161

Phone(510) 428-3885

Sole ProprietorNo

Enumeration DateJuly 12, 2007

Last NPPES UpdateMay 27, 2021

NPPES CertifiedMay 27, 2021

✔ NPI 1114126810 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 CA · PSY21584

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.

747 52ND ST, Oakland, CA 94609

Open in Google Maps ↗

Secondary Practice Location 1

Location 1465 34th St Ste AOakland, CA 94609-2815 · Phone (510) 239-3893

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHERYL LEE GARCIA RN

Registered Nurse (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

ERICA TRINGALE N.P,

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3373

MRS. NATALIE PLOTKIN MS, ACPNP

Pediatrics (Pediatric Hematology-Oncology)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3484

REBECCA ROMANOV MD

Pediatrics

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3331

SHELLEY ANNE BULL CPNP-PC

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

KARIDA ADETORO

Student in an Organized Health Care Education/Training Program

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

ANNIE ROQUE

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-4418

CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND

General Acute Care Hospital

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

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 Lisa Johnson's NPI number?

The NPI number for Lisa Johnson is 1114126810. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Lisa Johnson located?

Lisa Johnson practices at 747 52nd St Psychiatry/Castlemont, Oakland, CA 94609. The listed phone number is (510) 428-3885.

What is Lisa Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Johnson was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.