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DR. JACOBA JOHNSON PHD
NPI 1982211058
Psychologist - Clinical in Philadelphia, PA

Active since September 23, 2020
255 S 17TH ST, PHILADELPHIA, PA 19103(267) 403-3035 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2022, Sep 23, 2020 (2 updates tracked since 2020).

About Dr. Jacoba Johnson Phd NPPES

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

DR. JACOBA JOHNSON PHD (NPI 1982211058) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS019061) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1982211058
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACOBA JOHNSONCredential: PHD
Location Address255 S 17TH STPhiladelphia, PA 19103-6231
Mailing Address2413 Spruce StPhiladelphia, PA 19103-5526 · (202) 669-7626
Phone(267) 403-3035
Sole ProprietorYes
Enumeration DateSeptember 23, 2020
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1982211058 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 PA · PS019061
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.
255 S 17TH ST, Philadelphia, PA 19103
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Other Providers at the Same Location NPPES 20

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

MONICA FAUBLE L.AC.
Acupuncturist
255 S 17TH ST, SUITE 1502
PHILADELPHIA, PA 19103
Philadelphia County (215) 500-2579
ALLISON MONACO
Marriage & Family Therapist
255 S 17TH ST
PHILADELPHIA, PA 19103
Philadelphia County (609) 535-3110
DR. EDWARD TINDAL MOON PSY D
Psychologist (Clinical)
255 S 17TH ST, SUITE 2301
PHILADELPHIA, PA 19103
Philadelphia County (610) 659-0774
DR. LISA SEUFERT M.D.
Psychiatry & Neurology (Psychiatry)
255 S 17TH ST, SUITE 2810
PHILADELPHIA, PA 19103
Philadelphia County (267) 882-6251
OCCUPATIONAL INDUSTRIAL HEALTH SERVICES
Internal Medicine (Sports Medicine)
255 S 17TH ST, SUITE 2001
PHILADELPHIA, PA 19103
Philadelphia County (215) 546-7049
ALGIRD R MAMENISKIS M.D., F.A.C.S.
Specialist
255 S 17TH ST, SUITE 2200
PHILADELPHIA, PA 19103
Philadelphia County (215) 732-3340
DR. JOSEPH DELVEY JR. PH.D.
Psychologist
255 S 17TH ST, SUITE 606
PHILADELPHIA, PA 19103
Philadelphia County (215) 545-7999
ELISABETTA AMBRON
Psychologist
255 S 17TH ST
PHILADELPHIA, PA 19103
Philadelphia County (484) 280-5561

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 Jacoba Johnson's NPI number?

The NPI number for Jacoba Johnson is 1982211058. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Jacoba Johnson located?

Jacoba Johnson practices at 255 S 17th St, Philadelphia, PA 19103. The listed phone number is (267) 403-3035.

What is Jacoba 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 Jacoba Johnson was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.