DR. CLIFFORD ALAN JOHANNSEN PH.D. NPI 1962627901

NPI Information

  • NPI: 1962627901
  • Provider Name: DR. CLIFFORD ALAN JOHANNSEN, PH.D.
  • Classification: Psychologist - 103TP2701X
  • Specialization: Group Psychotherapy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 635 CHURCH ST NE
    SALEM, OR
    ZIP 97301
  • Phone: (503) 399-9691

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NPI Details

DR. Clifford Alan Johannsen, PH.D. is a group psychotherapy psychologist in Salem, OR with 43 years of experience. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. DR. Clifford Alan Johannsen, PH.D. NPI is 1962627901. 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:

635 CHURCH ST NE
SALEM, OR
ZIP 97301-402
Phone: (503) 399-9691
Fax: (503) 399-9401

The NPI 1962627901 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 4/16/2007 and was last updated on 9/11/2025.

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
1103T00000XPsychologist0935OREGONNo
2103TA0400XPsychologistAddiction (Substance Use Disorder)0935OREGONNo
3103TB0200XPsychologistCognitive & Behavioral0935OREGONNo
4103TC0700XPsychologistClinical0935OREGONNo
5103TC2200XPsychologistClinical Child & Adolescent0935OREGONNo
6103TF0200XPsychologistForensic0935OREGONNo
7103TP2701XPsychologistGroup Psychotherapy0935OREGONYes
8106H00000XMarriage & Family Therapist0935OREGONNo

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: 11/21/2025

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