DR. CLIFFORD ALAN JOHANNSEN PH.D.
NPI 1962627901
Psychologist - Group Psychotherapy in Salem, OR

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment
635 CHURCH ST NE, SALEM, OR 97301(503) 399-9691(503) 399-9401 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Clifford Alan Johannsen Ph.d. NPPES

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

DR. CLIFFORD ALAN JOHANNSEN PH.D. (NPI 1962627901) is an individual group psychotherapy provider in Salem, Oregon, licensed in Oregon (0935) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1962627901
Entity TypeIndividualMale
Primary Taxonomy103TP2701X
Provider Legal NameDR. CLIFFORD ALAN JOHANNSENCredential: PH.D.
Location Address635 CHURCH ST NESalem, OR 97301-2402
Mailing AddressPo Box 2004Lake Oswego, OR 97035-0626 · (503) 246-5986 · Fax (503) 246-8050
Fax(503) 399-9401
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateApril 16, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1962627901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers
Taxonomy Code103TP2701X
License Licensed in OR · 0935
Definition

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

Also ListedPsychologistTaxonomy 103T00000X · License 0935 (OR)
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 0935 (OR)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 0935 (OR)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 0935 (OR)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 0935 (OR)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 0935 (OR)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 0935 (OR)

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Clifford Alan Johannsen Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082778519
PECOS Enrollment IDI20090129000006
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

Psychologist (Family)
635 CHURCH ST NE
SALEM, OR 97301
Psychologist (Health Service)
635 CHURCH ST NE
SALEM, OR 97301
Psychologist (Clinical)
635 CHURCH ST NE
SALEM, OR 97301

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 Clifford Johannsen's NPI number?

The NPI number for Clifford Johannsen is 1962627901. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Clifford Johannsen located?

Clifford Johannsen practices at 635 Church St NE, Salem, OR 97301. The listed phone number is (503) 399-9691.

What is Clifford Johannsen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Is Clifford Johannsen enrolled in Medicare?

Yes. Clifford Johannsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clifford Johannsen accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Clifford Johannsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clifford Johannsen was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.