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Deactivated NPI 1699753368 Deactivated / Inactive NPI Female Practitioner

Dr. Sandra Lynne Johnson , PhD

Psychologist • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sandra Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 04, 2006
NPI Deactivation Date August 06, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Johnson, PhD was a registered Psychologist practicing in Seattle, WA. Throughout an active medical career spanning 13 years, Dr. Johnson provided care at the practice location at 3245 FAIRVIEW AVE E until profile deactivation on 2019-08-06.

Practice Location & Contact Primary Location

Practice Address

3245 Fairview Ave E
Suite 310

Seattle, WA 981023053

Telephone 2063222012
Fax 2063226897
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
322 Specialists

Practicing in Seattle, WA (1137 Statewide)

Telehealth Adoption Rate
6.2% 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 Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WA PSYCH 1328

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

10 Associated Practitioners
Alexandra Brouwer Wright , LMFT

Marriage & Family Therapist

NPI 1003090341

Licensed Marriage and Family Therapist

Dr. Mavis Tsai , PhD

Psychologist - Clinical

NPI 1023174059

Doctor of Philosophy (Ph.D.)

Dr. Madelon Bolling , PhD

Psychologist - Clinical

NPI 1033246160

Doctor of Philosophy (Ph.D.)

NPI 1053468173

Doctor of Philosophy (Ph.D.)

Mary Erickson , MA, LMFT

Marriage & Family Therapist

NPI 1104046796

Master of Arts, Licensed Marriage and Family Therapist

Dr. Gareth Holman , PhD

Psychologist - Clinical

NPI 1285980599

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 06, 2019

Record deactivated on August 06, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3245 FAIRVIEW AVE E, SUITE 310, SEATTLE, WA 981023053 (Tel: 2063222012)

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Updated Business Mailing Address July 08, 2007

Registered at 3245 FAIRVIEW AVE E, SUITE 310, SEATTLE, WA 981023053 (Tel: 2063222012)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SANDRA JOHNSON, PH.D.

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

Psychologist (License #PSYCH 1328 in WA)

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Initial NPI Registration & Enumeration January 04, 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: 1699753368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2006
Last Update: July 08, 2007
Deactivation Date: August 06, 2019

Mailing Address

3245 Fairview Ave E, Suite 310

Seattle, WA 981023053

Phone: 2063222012

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

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