DR. JASON JOHANNESEN PHD
NPI 1215352836
Psychologist - Clinical in West Haven, CT

Active since February 19, 2014
950 CAMPBELL AVE, PSYCHOLOGY SERVICE, 116B, WEST HAVEN, CT 06516(203) 932-5711 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason Johannesen Phd NPPES

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

DR. JASON JOHANNESEN PHD (NPI 1215352836) is an individual clinical provider in West Haven, Connecticut, licensed in Connecticut (003277) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1215352836
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JASON JOHANNESENCredential: PHD
Location Address950 CAMPBELL AVE, PSYCHOLOGY SERVICE, 116BWest Haven, CT 06516-2770
Mailing Address950 Campbell Ave, Psychology Service, 116bWest Haven, CT 06516-2770 · (203) 932-5711
Sole ProprietorNo
Enumeration DateFebruary 19, 2014
NPI 1215352836 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 CT · 003277
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.
950 CAMPBELL AVE, West Haven, CT 06516

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
950 CAMPBELL AVE, PHARMACY SERVICE (119)
WEST HAVEN, CT 06516
Psychologist (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
Social Worker
950 CAMPBELL AVE
WEST HAVEN, CT 06516
Counselor
950 CAMPBELL AVE, MS 122V
WEST HAVEN, CT 06516
Dietitian, Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
Chiropractor
950 CAMPBELL AVE, BUILDING 2, FLOOR 4
WEST HAVEN, CT 06516
Nurse Anesthetist, Certified Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
Social Worker (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516

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 Jason Johannesen's NPI number?

The NPI number for Jason Johannesen is 1215352836. It was assigned to this individual provider in the NPPES registry on February 19, 2014.

Where is Jason Johannesen located?

Jason Johannesen practices at 950 Campbell Ave Psychology Service, 116B, West Haven, CT 06516. The listed phone number is (203) 932-5711.

What is Jason Johannesen'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 Jason Johannesen was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.