MR. BRYAN JOHNSON
NPI 1205205879
Psychologist in Bothell, WA

Active since September 24, 2015PECOS EnrolledAccepts Medicare Assignment
10414 BEARDSLEE BLVD, BOTHELL, WA 98011(425) 486-0658 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2025, Aug 5, 2021, Dec 4, 2020 and 2 more (5 updates tracked since 2019).

About Mr. Bryan Johnson NPPES

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

MR. BRYAN JOHNSON (NPI 1205205879) is an individual psychologist in Bothell, Washington, licensed in Washington (PY61040080) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205205879
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. BRYAN JOHNSON
Location Address10414 BEARDSLEE BLVDBothell, WA 98011-3205
Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 24, 2015
Last NPPES UpdateJanuary 3, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1205205879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY61040080
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.

Also ListedCounselorTaxonomy 101Y00000X · License MC61000726 (WA)
10414 BEARDSLEE BLVD, Bothell, WA 98011

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 and accepts Medicare assignment

Mr. Bryan Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537564208
PECOS Enrollment IDI20210818000809
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.

Other Providers at the Same Location NPPES 6

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

Dentist
10414 BEARDSLEE BLVD, SUITE 200
BOTHELL, WA 98011
Pharmacist
10414 BEARDSLEE BLVD, SUITE 201
BOTHELL, WA 98011
Dentist (General Practice)
10414 BEARDSLEE BLVD, SUITE 200
BOTHELL, WA 98011
Pharmacy Technician
10414 BEARDSLEE BLVD
BOTHELL, WA 98011
Clinic/Center (Federally Qualified Health Center (FQHC))
10414 BEARDSLEE BLVD, SUITE 100
BOTHELL, WA 98011
Nurse Practitioner
10414 BEARDSLEE BLVD
BOTHELL, WA 98011

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 Bryan Johnson's NPI number?

The NPI number for Bryan Johnson is 1205205879. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Bryan Johnson located?

Bryan Johnson practices at 10414 Beardslee Blvd, Bothell, WA 98011. The listed phone number is (425) 486-0658.

What is Bryan Johnson's specialty?

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

Is Bryan Johnson enrolled in Medicare?

Yes. Bryan Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bryan Johnson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Bryan 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 Bryan Johnson was last updated on January 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.