DR. THEODORE MARTIN JOHNSON PH.D.
NPI 1356446777
Psychologist - Clinical in Olympia, WA

Q: What is Theodore Johnson's NPI number?

The NPI number for Theodore Johnson is 1356446777. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Theodore Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 13, 2006

500 LILLY RD NE, #205, OLYMPIA, WA 98506(360) 413-8222(360) 413-8205 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Theodore Martin Johnson Ph.d. NPPES

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

DR. THEODORE MARTIN JOHNSON PH.D. (NPI 1356446777) is an individual clinical provider in Olympia, Washington, licensed in Washington (PY2977) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1356446777

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. THEODORE MARTIN JOHNSONCredential: PH.D.

Location Address500 LILLY RD NE, #205Olympia, WA 98506-5195

Mailing Address500 Lilly Rd Ne, #205Olympia, WA 98506-5195 · (360) 413-8222 · Fax (360) 413-8205

Phone(360) 413-8222

Fax(360) 413-8205

Sole ProprietorYes

Enumeration DateSeptember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1356446777 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 WA · PY2977

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.

500 LILLY RD NE, Olympia, WA 98506

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Other Identifiers 1

Medicare ID-Type Unspecified8806325WA

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.

DR. ROBERT C TOMFORD MD

Internal Medicine (Nephrology)

500 LILLY RD NE, SUITE 203
OLYMPIA, WA 98506

Thurston County (360) 413-8121

SAMANTHA MOORE PA-C

Physician Assistant

500 LILLY RD NE
OLYMPIA, WA 98506

Thurston County (360) 413-8250

DR. AUDREY MANTANONA PHARMD

Pharmacist

500 LILLY RD NE
OLYMPIA, WA 98506

Thurston County (360) 477-5101

DR. WILLIAM J MITCHELL MD

Specialist

500 LILLY RD NE, SUITE 204
OLYMPIA, WA 98506

Thurston County (360) 413-8250

MR. ELIJAH TELFARE P.A.

Physician Assistant (Surgical)

500 LILLY RD NE, SUITE 100
OLYMPIA, WA 98506

Thurston County (360) 491-4211

NORTHWEST RADIOLOGY GROUP LLC

Specialist

500 LILLY RD NE, SUITE 160
OLYMPIA, WA 98506

Thurston County (360) 413-8307

MR. PATRICK C WILLIAMS PA

Physician Assistant

500 LILLY RD NE, SUITE 204
OLYMPIA, WA 98506

Thurston County (360) 413-8250

SEATTLE VAMC

Clinic/Center (VA)

500 LILLY RD NE, STE 201 AND 204A
OLYMPIA, WA 98506

Thurston County (702) 341-3164

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 Theodore Johnson's NPI number?

The NPI number for Theodore Johnson is 1356446777. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Theodore Johnson located?

Theodore Johnson practices at 500 Lilly Rd NE #205, Olympia, WA 98506. The listed phone number is (360) 413-8222.

What is Theodore Johnson'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 Theodore Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.