GEORGETTE JOHNSON PSYD
NPI 1467406728
Psychologist - Clinical Child & Adolescent in Cape Girardeau, MO

Q: What is Georgette Johnson's NPI number?

The NPI number for Georgette Johnson is 1467406728. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Q: What is Georgette Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Georgette Johnson was last updated on May 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 20, 2006

619 N BROADVIEW ST, CAPE GIRARDEAU, MO 63701(573) 334-3486(573) 334-3524 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Georgette Johnson Psyd NPPES

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

GEORGETTE JOHNSON PSYD (NPI 1467406728) is an individual clinical child & adolescent provider in Cape Girardeau, Missouri, licensed in Missouri (1999140485) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1467406728

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameGEORGETTE JOHNSONCredential: PSYD

Location Address619 N BROADVIEW STCape Girardeau, MO 63701-4313

Mailing Address2700 Wedgewood DrJackson, MO 63755-3251 · (573) 334-7471

Phone(573) 334-3486

Fax(573) 334-3524

Sole ProprietorNo

Enumeration DateMay 20, 2006

Last NPPES UpdateMay 1, 2008

✔ NPI 1467406728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in MO · 1999140485

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

619 N BROADVIEW ST, Cape Girardeau, MO 63701

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Other Identifiers 16

Other5633811Firsthealth

Other430142Century Planners

Other430142Fortis/hl

Other431823864Greatwest

Other431823864Magellan

Other43042Epoch

Other431823864MO · Corphealth

Other430142Healthlink

Other430142Healthlink Freedom

Other431823864Multiplan

Medicare PIN990001748MO

Other146377Blue Cross Blue Shield

Medicare ID-Type Unspecified000071282

Other431823864Missouri Alliance

Medicaid493874812MO

Medicare PIN000071282MO

Other Providers at the Same Location NPPES 15

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

DR. JOHN W DUBIN PHD, LPC

Counselor (Professional)