Active NPIIndividual provider

Mark C Johnson, PHD

Psychologist, Clinical in White River Junction, Vermont

NPI Number1801961214
Practice location
2456 Christian Street, Suite 204, White River Junction, VT 05001-1222
Fax
802-296-8407
Last updated
July 8, 2007

Mark C Johnson is a Psychologist, Clinical based in White River Junction, VT. Mark C Johnson practices in White River Junction, VT and has the professional credentials of PHD. The NPI Number for Mark C Johnson is 1801961214 and holds a License No. 280 (VT). The current practice location address for Mark C Johnson is 2456 Christian Street, Suite 204, White River Junction, VT 05001-1222 and can be reached out via phone at 802-296-3030 and via fax at 802-296-8407.

Provider Profile Details

NPI Number
1801961214
Provider Name
Mark C Johnson
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2456 Christian Street, Suite 204, White River Junction, VT 05001-1222
Phone Number
802-296-3030
Fax Number
802-296-8407
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
November 21, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2456 Christian Street
Suite 204
White River Junction, VT 05001-1222
State
Vermont
Zip
05001-1222
Phone Number
802-296-3030
Fax Number
802-296-8407
White River Junction, VT 05001Get directions →

Provider Business Mailing Address Details

Address
2456 Christian Street
Suite 204
White River Junction, VT 05001-1222
City
White River Junction
State
VT
Zip
05001-1222
Phone Number
802-296-3030
Fax Number
802-296-8407

License Information

License Number
280
License State
VT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark C Johnson, PHD?

The NPI number of Mark C Johnson, PHD is 1801961214. It was assigned on November 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark C Johnson, PHD?

Mark C Johnson, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 280.

Where does Mark C Johnson, PHD practice?

The practice location is 2456 Christian Street, Suite 204, White River Junction, VT 05001-1222. The office can be reached at 802-296-3030 (phone) or 802-296-8407 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801961214 directly on the NPPES registry website.

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