MR. GEORDAN LEGETTE JOHNSON
NPI 1194035774
Psychologist in Roxbury, MA

Active since October 15, 2010
504 DUDLEY ST, ROXBURY, MA 02119(617) 445-6655 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Geordan Legette Johnson NPPES

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

MR. GEORDAN LEGETTE JOHNSON (NPI 1194035774) is an individual psychologist in Roxbury, Massachusetts, licensed in Massachusetts (S66991897) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1194035774
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. GEORDAN LEGETTE JOHNSON
Location Address504 DUDLEY STRoxbury, MA 02119-2732
Mailing Address175 Woodrow AveDorchester Center, MA 02124-3210 · (617) 388-8139
Sole ProprietorYes
Enumeration DateOctober 15, 2010
NPI 1194035774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · S66991897
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
504 DUDLEY ST, Roxbury, MA 02119

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.

Counselor (Mental Health)
504 DUDLEY ST
ROXBURY, MA 02119
Counselor (Mental Health)
504 DUDLEY ST
ROXBURY, MA 02119
Counselor
504 DUDLEY ST
ROXBURY, MA 02119
Counselor
504 DUDLEY ST
ROXBURY, MA 02119
Counselor
504 DUDLEY ST
ROXBURY, MA 02119
Counselor
504 DUDLEY ST
ROXBURY, MA 02119
Counselor
504 DUDLEY ST
ROXBURY, MA 02119
Counselor (Mental Health)
504 DUDLEY ST
ROXBURY, MA 02119

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 Geordan Johnson's NPI number?

The NPI number for Geordan Johnson is 1194035774. It was assigned to this individual provider in the NPPES registry on October 15, 2010.

Where is Geordan Johnson located?

Geordan Johnson practices at 504 Dudley St, Roxbury, MA 02119. The listed phone number is (617) 445-6655.

What is Geordan Johnson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Geordan Johnson was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.