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GEORGETTE JOHNSON PSYD NPI 1467406728


NPI Information

NPI: 1467406728
Provider Name: GEORGETTE JOHNSON, PSYD
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

PECOS Registration: Yes

Address:
619 N BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 334-3486
Get Directions

Georgette Johnson, PSYD is a clinical child and adolescent psychologist in Cape Girardeau, MO. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Georgette Johnson, PSYD NPI is 1467406728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

619 N BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63701-313
Phone: (573) 334-3486
Fax: (573) 334-3524

The NPI 1467406728 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 5/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & Adolescent1999140485MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15633811OTHERFIRSTHEALTH
2430142OTHERCENTURY PLANNERS
3430142OTHERFORTIS/HL
4431823864OTHERGREATWEST
5431823864OTHERMAGELLAN
643042OTHEREPOCH
7431823864OTHERMISSOURICORPHEALTH
8430142OTHERHEALTHLINK
9430142OTHERHEALTHLINK FREEDOM
10431823864OTHERMULTIPLAN
11990001748MEDICARE PINMISSOURI
12146377OTHERBLUE CROSS BLUE SHIELD
13000071282MEDICARE ID-TYPE UNSPECIFIED
14431823864OTHERMISSOURI ALLIANCE
15493874812MEDICAIDMISSOURI
16000071282MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.