DR. RAPHAEL GIDHARRY JOHNSON PH.D., LCSW
NPI 1295253953
Psychologist - Addiction (Substance Use Disorder) in Pasadena, CA

Q: What is Raphael Johnson's NPI number?

The NPI number for Raphael Johnson is 1295253953. It was assigned to this individual provider in the NPPES registry on September 1, 2017.

Q: What is Raphael Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Q: When was this NPI record last updated?

The NPPES record for Raphael Johnson was last updated on September 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 September 01, 2017

1753 N. COUNTRY LN., PASADENA, CA 91107(213) 700-4324(626) 797-7064 Get Directions Write a Review

NPPES record last updated: September 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Raphael Gidharry Johnson Ph.d., Lcsw NPPES

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

DR. RAPHAEL GIDHARRY JOHNSON PH.D., LCSW (NPI 1295253953) is an individual addiction (substance use disorder) provider in Pasadena, California, licensed in California (PSY24051) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1295253953

Entity TypeIndividualMale

Primary Taxonomy103TA0400X

Provider Legal NameDR. RAPHAEL GIDHARRY JOHNSONCredential: PH.D., LCSW

Location Address1753 N. COUNTRY LN.Pasadena, CA 91107-1104

Mailing Address1753 N. Country Ln.Pasadena, CA 91107-1104 · (213) 700-4324 · Fax (626) 797-7064

Phone(213) 700-4324

Fax(626) 797-7064

Sole ProprietorYes

Enumeration DateSeptember 1, 2017

✔ NPI 1295253953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in CA · PSY24051

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

1753 N. COUNTRY LN., Pasadena, CA 91107

Open in Google Maps ↗

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 Raphael Johnson's NPI number?

The NPI number for Raphael Johnson is 1295253953. It was assigned to this individual provider in the NPPES registry on September 1, 2017.

Where is Raphael Johnson located?

Raphael Johnson practices at 1753 N. Country Ln., Pasadena, CA 91107. The listed phone number is (213) 700-4324.

What is Raphael Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Raphael Johnson was last updated on September 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.