1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Psychologist
  6. NPI Profile

JACQUELINE JOHNSON
NPI 1811160740
Psychologist - Health Service in Atlanta, GA

Active since April 11, 2008
2107 GARDENWOOD CT, ATLANTA, GA 30349(404) 857-8639 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Johnson NPPES

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

JACQUELINE JOHNSON (NPI 1811160740) is an individual health service provider in Atlanta, Georgia and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1811160740
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameJACQUELINE JOHNSON
Location Address2107 GARDENWOOD CTAtlanta, GA 30349
Mailing Address2107 Gardenwood CtAtlanta, GA 30349-3206 · (404) 857-8639 · Fax (404) 863-1541
Phone(404) 857-8639
Sole ProprietorYes
Enumeration DateApril 11, 2008
Last NPPES UpdateAugust 1, 2019
✔ NPI 1811160740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
2107 GARDENWOOD CT, Atlanta, GA 30349
Open in Google Maps ↗

Other Identifiers 1

Medicaid372320984BGA

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 Jacqueline Johnson's NPI number?

The NPI number for Jacqueline Johnson is 1811160740. It was assigned to this individual provider in the NPPES registry on April 11, 2008.

Where is Jacqueline Johnson located?

Jacqueline Johnson practices at 2107 Gardenwood Ct, Atlanta, GA 30349. The listed phone number is (404) 857-8639.

What is Jacqueline Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Jacqueline Johnson was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.