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DAN JOHNSON PHD CLINICAL NEUROPSYCHOLOGIST,P.A.
NPI 1174661003
Specialist in Jonesboro, AR

Active since February 02, 2007
1201 FLEMING AVE, JONESBORO, AR 72401(870) 933-5174(870) 933-5235 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dan Johnson Phd Clinical Neuropsychologist,p.a. NPPES

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

DAN JOHNSON PHD CLINICAL NEUROPSYCHOLOGIST,P.A. (NPI 1174661003) is a healthcare organization registered as a specialist in Jonesboro, Arkansas and active in the NPI registry since February 2007. The organization lists Dan Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174661003
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDAN JOHNSON PHD CLINICAL NEUROPSYCHOLOGIST,P.A.
Location Address1201 FLEMING AVEJonesboro, AR 72401-4311
Mailing Address1201 Fleming AveJonesboro, AR 72401-4311 · (870) 933-5174 · Fax (870) 933-5235
Phone(870) 933-5174
Fax(870) 933-5235
Organization SubpartNo
Authorized OfficialDan JohnsonCeo · (870) 933-5174
Enumeration DateFebruary 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174661003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · 01-10P
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1201 FLEMING AVE, Jonesboro, AR 72401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dan Johnson Phd Clinical Neuropsychologist,p.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dan Johnson Phd Clinical Neuropsychologist,p.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Daniel Johnson, PHD
Clinical Psychologist
NPI 1720004716
1201 FLEMING AVE
Jonesboro, AR 72401
(870) 933-5174
✔ PECOS✔ Accepts MedicareSame address
Stephen Golden, M.D.
Family Practice
NPI 1093778169
333 STADIUM BLVD
Jonesboro, AR 72401
(870) 932-3339
✔ PECOS✔ Accepts Medicare1.8 mi
James Lee, D.O.
Physical Medicine and Rehabilitation
NPI 1811001282
1001 WEST PARKER ROAD SUITE B FIRST CARE - PARKER ROAD
Jonesboro, AR 72404
(870) 972-8181
✔ PECOS2.2 mi

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 Dan Johnson Phd Clinical Neuropsychologist,p.A.'s NPI number?

The NPI number for Dan Johnson Phd Clinical Neuropsychologist,p.A. is 1174661003. It was assigned to this organization in the NPPES registry on February 2, 2007.

Where is Dan Johnson Phd Clinical Neuropsychologist,p.A. located?

Dan Johnson Phd Clinical Neuropsychologist,p.A. is located at 1201 Fleming Ave, Jonesboro, AR 72401. The listed phone number is (870) 933-5174.

What is Dan Johnson Phd Clinical Neuropsychologist,p.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dan Johnson Phd Clinical Neuropsychologist,p.A. enrolled in Medicare?

Yes. Dan Johnson Phd Clinical Neuropsychologist,p.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dan Johnson Phd Clinical Neuropsychologist,p.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dan Johnson Phd Clinical Neuropsychologist,p.A., in Clinical Psychologist, Family Practice and Physical Medicine and Rehabilitation. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dan Johnson Phd Clinical Neuropsychologist,p.A. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Dan Johnson Phd Clinical Neuropsychologist,p.A. 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 Dan Johnson Phd Clinical Neuropsychologist,p.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.