DR. DAVID EDWIN JOHNSEN PH.D
NPI 1639186448
Psychologist - Clinical in Oklahoma City, OK

Q: What is David Johnsen's NPI number?

The NPI number for David Johnsen is 1639186448. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is David Johnsen's specialty?

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

Q: Is David Johnsen enrolled in Medicare?

No. David Johnsen has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for David Johnsen 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 August 02, 2006Opted out of Medicare · through Apr 1, 2027

3601 NW 138TH ST, STE. 201, OKLAHOMA CITY, OK 73134(405) 755-8576(405) 755-6026 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. David Edwin Johnsen Ph.d NPPES

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

DR. DAVID EDWIN JOHNSEN PH.D (NPI 1639186448) is an individual clinical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (538) and active in the NPI registry since August 2006. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1639186448

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DAVID EDWIN JOHNSENCredential: PH.D

Location Address3601 NW 138TH ST, STE. 201Oklahoma City, OK 73134-2513

Mailing Address3601 Nw 138th St, Ste. 201Oklahoma City, OK 73134-2513 · (405) 755-8576 · Fax (405) 755-6026

Phone(405) 755-8576

Fax(405) 755-6026

Sole ProprietorNo

Enumeration DateAugust 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639186448 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 OK · 538

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.

3601 NW 138TH ST, Oklahoma City, OK 73134

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David Edwin Johnsen Ph.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

DR. JUSTIN ROSS PORTER M.D.

Pain Medicine (Interventional Pain Medicine)

3601 NW 138TH ST
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 242-4100

LEIGH ANN MARTIN PA-C

Physician Assistant (Medical)

3601 NW 138TH ST, SUITE 200
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 242-4100

OKLAHOMA PAIN MANAGEMENT PLLC

Anesthesiology (Pain Medicine)

3601 NW 138TH ST, SUITE 200
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 242-4100

GARRETT WRIGHT MD

Anesthesiology

3601 NW 138TH ST
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 242-4100

OKLAHOMA PAIN MANAGEMENT PLLC

Specialist

3601 NW 138TH ST, STE 200
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 242-4100

DR. SCOTT A MITCHELL DO

Pain Medicine (Interventional Pain Medicine)

3601 NW 138TH ST, STE 200
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 775-9350

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 David Johnsen's NPI number?

The NPI number for David Johnsen is 1639186448. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is David Johnsen located?

David Johnsen practices at 3601 NW 138th St Ste. 201, Oklahoma City, OK 73134. The listed phone number is (405) 755-8576.

What is David Johnsen's specialty?

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

Is David Johnsen enrolled in Medicare?

No. David Johnsen has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for David Johnsen 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.