Provider Demographics
NPI:1588457626
Name:JOHNSTON, WILLIAM (PSYD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:JOHNSTON
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTHWEST REGISTERED AGENT LLC
Mailing Address - Street 2:8401 MAYLAND DRIVE STE A
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4483
Mailing Address - Country:US
Mailing Address - Phone:202-670-2407
Mailing Address - Fax:
Practice Address - Street 1:316 WARREN AVE
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-4483
Practice Address - Country:US
Practice Address - Phone:202-670-2407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0805002661103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical