Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396959664 Individual Practitioner Female Practitioner

Dr. Jacqueline Kay Johnson , EdD

Psychologist - School • Flagstaff, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Jacqueline Johnson, EdD is a registered healthcare professional specializing in Psychologist - School in Flagstaff, AZ. Practice services are available at 416 N KENDRICK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

416 N Kendrick St

Flagstaff, AZ 860011598

Telephone 9287749123
Associated Practice Facility / Clinic
🏢 Beverlee Gibbs-Cassady Facility NPI 1841598059

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Flagstaff, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
18 Specialists

Practicing in Flagstaff, AZ (1023 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Psychologist

NUCC Taxonomy Code: 103T00000X

State License AZ 1104

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Linnea Lei , EdD

Psychologist - Counseling

NPI 1821036344

Doctor of Education (Ed.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 26, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2007

Registered at 416 N KENDRICK ST, FLAGSTAFF, AZ 860011598 (Tel: 9287749123)

📍
Updated Business Mailing Address July 26, 2007

Registered at PO BOX 1394, FLAGSTAFF, AZ 860021394 (Tel: 9287744313)

👤
Provider Name / Credentials Updated July 26, 2007

Recorded as JACQUELINE JOHNSON, ED.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2007

Psychologist (License #1104 in AZ)

🟢
Initial NPI Registration & Enumeration May 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1396959664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2007
Last Update: September 11, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 1394

Flagstaff, AZ 860021394

Phone: 9287744313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.