DR. CLYDE JOSEPH JOHNSON PH.D. NPI 1588242416

NPI Information

  • NPI: 1588242416
  • Provider Name: DR. CLYDE JOSEPH JOHNSON, PH.D.
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1124 BLANTON DR # 100
    SEVIERVILLE, TN
    ZIP 37862
  • Phone: (865) 286-6950

Map and Directions

Get Directions

NPI Details

DR. Clyde Joseph Johnson, PH.D. is a health service psychologist in Sevierville, TN with 7 years of experience. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). DR. Clyde Joseph Johnson, PH.D. NPI is 1588242416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1124 BLANTON DR # 100
SEVIERVILLE, TN
ZIP 37862-049
Phone: (865) 286-6950

The NPI 1588242416 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 3/31/2021 and was last updated on 3/31/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TH0100XPsychologistHealth Service3637TENNESSEEYes

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI