Provider Demographics
NPI:1992209654
Name:W JOSHUA JOHNSON PSYCHOLOGIST INC
Entity Type:Organization
Organization Name:W JOSHUA JOHNSON PSYCHOLOGIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:THOMAS JOSHUA
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:562-999-4707
Mailing Address - Street 1:6616 TURNERGROVE DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90713-2710
Mailing Address - Country:US
Mailing Address - Phone:562-999-4707
Mailing Address - Fax:877-741-9754
Practice Address - Street 1:17315 STUDEBAKER RD STE 105
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2565
Practice Address - Country:US
Practice Address - Phone:562-999-4707
Practice Address - Fax:877-741-9754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty