DR. JACQUELYN CHARISE JOHNSON PSY.D.
NPI 1922543594
Psychologist - Clinical in Los Angeles, CA

Q: What is Jacquelyn Johnson's NPI number?

The NPI number for Jacquelyn Johnson is 1922543594. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Q: What is Jacquelyn 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 Jacquelyn Johnson was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 05, 2017

1020 S OLIVE ST, LOS ANGELES, CA 90015(213) 741-5482 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2019, Mar 18, 2019, Jan 5, 2017 (3 updates tracked since 2017).

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About Dr. Jacquelyn Charise Johnson Psy.d. NPPES

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

DR. JACQUELYN CHARISE JOHNSON PSY.D. (NPI 1922543594) is an individual clinical provider in Los Angeles, California, licensed in California (PSY29686) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1922543594

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACQUELYN CHARISE JOHNSONCredential: PSY.D.

Location Address1020 S OLIVE STLos Angeles, CA 90015-1602

Mailing AddressPo Box 1782Los Angeles, CA 90001-0782

Phone(213) 741-5482

Sole ProprietorYes

Enumeration DateJanuary 5, 2017

Last NPPES UpdateSeptember 5, 20193 updates tracked since enumeration

✔ NPI 1922543594 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 CA · PSY29686

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.

1020 S OLIVE ST, Los Angeles, CA 90015

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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 Jacquelyn Johnson's NPI number?

The NPI number for Jacquelyn Johnson is 1922543594. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Where is Jacquelyn Johnson located?

Jacquelyn Johnson practices at 1020 S Olive St, Los Angeles, CA 90015. The listed phone number is (213) 741-5482.

What is Jacquelyn 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 Jacquelyn Johnson was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.