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Active NPI 1730285008 Individual Practitioner Male Practitioner

Dr. Jan Gary Johnson , PhD

Psychologist - Clinical • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jan Johnson, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Longview, WA. Practice services are available at 945 11TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

945 11th Ave
Suite B

Longview, WA 986322555

Telephone 3604148600
Fax 3606367372
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Longview, WA (1744 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
310 15 $225.00 $98.13

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License WA 2721

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Practice Associates & Co-Workers

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

26 Associated Practitioners
Tristan Wozniak , MA LMHC

Counselor - Mental Health

NPI 1023257094

MALMHC

Dr. David Devidal , PhD

Psychologist - Clinical

NPI 1033220843

Doctor of Philosophy (Ph.D.)

NPI 1053422014

Doctor of Philosophy (Ph.D.)

Dr. Ibrahim Kurdieh , PhD

Psychologist - Clinical

NPI 1063819175

Doctor of Philosophy (Ph.D.)

Jana Schmutz , LMHC

Counselor - Mental Health

NPI 1114306867

Licensed Mental Health Counselor

Alisha Weaver , LMHCA

Counselor - Mental Health

NPI 1124858659

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 945 11TH AVE, SUITE B, LONGVIEW, WA 986322555 (Tel: 3604148600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 945 11TH AVE, SUITE B, LONGVIEW, WA 986322555 (Tel: 3604148600)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAN JOHNSON, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #2721 in WA)

🟢
Initial NPI Registration & Enumeration September 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730285008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

945 11th Ave, Suite B

Longview, WA 986322555

Phone: 3604148600

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.