npidexNPI registry + Medicare data

ERICA JOHNSON, PHD

Rehabilitation Psychologist · LYNNWOOD, WA

Individual Active Opted out of Medicare NPI 1689069502

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Rehabilitation Psychologist103TR0400X✓PY60307202WA
Clinical Neuropsychologist103G00000XPY60307202WA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2017-01-01 through 2027-01-01.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.