DR. JACQUELYN CHARISE JOHNSON


Address: 1020 S Olive St, Los Angeles, CA 90015-1602
Phone: 2137415482

DR. JACQUELYN CHARISE JOHNSON (NPI# 1922543594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922543594
Entity Type Individual
Full Name DR. JACQUELYN CHARISE JOHNSON
Credential PSY.D.
Practice Address 1020 S Olive St
Los Angeles
CA 90015-1602
Mailing Address Po Box 1782
Los Angeles
CA 90001-0782
Practice Telephone 2137415482
Enumeration Date 2017-01-05
Last Update Date 2019-09-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY29686 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 1020 S OLIVE ST
City LOS ANGELES
State CA
Zip Code 90015-1602

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184224156 Via Care Community Health Center Clinic/Center 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 2020-10-29
1225650955 Luis Alvarado Student in an Organized Health Care Education/Training Program 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 2020-05-15
1386290385 Amy M Powell Student in an Organized Health Care Education/Training Program 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 2019-08-15
1881170199 Angie Andreina Trias Sanchez Student in an Organized Health Care Education/Training Program 936 S Olive St Apt 154, Los Angeles, CA 90015 2018-07-19
1083148753 Central Neighborhood Health Foundation - Fontana Clinic/Center 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 2017-04-19
1255871711 Ethan Lin Student in an Organized Health Care Education/Training Program 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 2017-03-03
1972055093 Yvonne Perez Social Worker 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 2016-10-25
1356896492 Mayano Ochi Midwife 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 2016-08-18
1518321686 Cielo Reyna-donaldson Registered Nurse 1520 South Olive Street, Los Angeles, CA 90015 2016-04-05
1891175774 Amanecer Community Counseling Service Community/Behavioral Health 1500 S Olive St Rm 506, Los Angeles, CA 90015 2015-06-04
Find all providers in zip 90015

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558962324 Marjan-marcia Khalitchi-alavi Psychologist 12400 Wilshire Blvd #230, Los Angeles, CA 90025 2020-11-06
1851990626 Sarah R Martin Psychologist 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 2020-10-22
1184223851 Emily Jenchura Psychologist 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 2020-10-22
1679189377 Dr. Sandra Jeanne Brim, Ph.d. Psychologist 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 2020-09-17
1194330274 Marilyn S Zweifach Psychologist 3606 Barry Avenue, Los Angeles, CA 90066 2020-09-15
1538787874 Molly Burrets Psychologist 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 2020-07-13
1770100737 Mary Carde Psychologist 1572 Ensley Ave, Los Angeles, CA 90024-5325 2020-06-25
1134745193 Bloom Psychology, Inc. Psychologist 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 2020-06-24
1639799406 Joseph Aguayo Psychologist 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 2020-04-22
1912536020 Butterflly Health, Inc. Psychologist 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 2020-04-02
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Competitor

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City LOS ANGELES
Zip Code 90015

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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