Brian R. Johnson, Ph.D. Inc

LBN: Brian R Johnson Phd Psychological Corporation Inc
Brian R. Johnson, Ph.D. Inc is an health care organization with primary practice located at 250 W. First St. Suite 352, Claremont CA 91711. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Brian R Johnson Phd Psychological Corporation Inc can be contacted via phone (909) 399-0556, or through Johnson, Brian Russell via phone (909) 399-0556.

Contact Information

Primary practice address
250 W. First St. Suite 352 Claremont CA 91711
Phone: (909) 399-0556
Fax: (909) 624-2137
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Brian Russell PH.D.
Phone: (909) 399-0556

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY8006 California

Profile Details

NPI number 1144313792
LBN Legal business name Brian R Johnson Phd Psychological Corporation Inc
DBA Doing business as Brian R. Johnson, Ph.D. Inc
Authorized official Johnson, Brian Russell PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated May 14th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144313792 NPPES
California MEDICAID PSY080060

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