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MS. JACKIE JOHNSON PSYCHOLOGY INTERN
NPI 1407166119
Student in an Organized Health Care Education/Training Program in Somerville, MA

Active since October 15, 2010
111 SOUTH ST., SOMERVILLE, MA 02143(617) 284-5130 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Jackie Johnson Psychology Intern NPPES

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

MS. JACKIE JOHNSON PSYCHOLOGY INTERN (NPI 1407166119) is an individual student in an organized health care education/training program in Somerville, Massachusetts and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1407166119
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. JACKIE JOHNSONCredential: PSYCHOLOGY INTERN
Location Address111 SOUTH ST.Somerville, MA 02143
Mailing Address111 South St.Somerville, MA 02143
Phone(617) 284-5130
Sole ProprietorNo
Enumeration DateOctober 15, 2010
✔ NPI 1407166119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 SOUTH ST., Somerville, MA 02143
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Other Providers at the Same Location NPPES 10

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

RANDI E. DONNIS M.ED.
Student in an Organized Health Care Education/Training Program
111 SOUTH ST.
SOMERVILLE, MA 02143
Middlesex County (617) 284-5130
DANIEL DYLAN SPRINTZEN LICSW
Social Worker
111 SOUTH ST.
SOMERVILLE, MA 02143
Middlesex County (617) 284-5130
MS. SARA LEE-CONROY NOONE LICSW
Social Worker
111 SOUTH ST.
SOMERVILLE, MA 02143
Middlesex County (617) 284-5130
MARIANA H RODRIGUEZ LCSW
Social Worker
111 SOUTH ST.
SOMERVILLE, MA 02143
Middlesex County (617) 284-5130
CAROL JOY MALINA LICSW
Social Worker (Clinical)
111 SOUTH ST.
SOMERVILLE, MA 02143
Middlesex County (617) 284-5140
BILLIE F BIVINS LMHC, LADC II, LCPC
Counselor
111 SOUTH ST.
SOMERVILLE, MA 02143
Middlesex County (617) 284-5130
MS. AMY SUSANNE FLICK MSW, LCSW
Social Worker
111 SOUTH ST.
SOMERVILLE, MA 02143
Middlesex County (617) 284-5130
JULIE AIN M.S.W., L.I.C.S.W.
Social Worker (Clinical)
111 SOUTH ST.
SOMERVILLE, MA 02143
Middlesex County (617) 284-5130

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 Jackie Johnson's NPI number?

The NPI number for Jackie Johnson is 1407166119. It was assigned to this individual provider in the NPPES registry on October 15, 2010.

Where is Jackie Johnson located?

Jackie Johnson practices at 111 South St., Somerville, MA 02143. The listed phone number is (617) 284-5130.

What is Jackie Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackie 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.