Jennifer Ellyn Johnson, PHD - Psychologist in Cranston, RI

Jennifer Ellyn Johnson, PHD is a Psychologist based in Cranston, Rhode Island. Jennifer Ellyn Johnson is licensed to practice in Rhode Island (license number PS00925) and her current practice location is 935 Park Ave, #206, Cranston, Rhode Island. She can be reached at her office (for appointments etc.) via phone at (401) 439-2580.

NPI number for Jennifer Ellyn Johnson is 1528116241 and her current mailing address is 26 Jerry Ln, North Kingstown, Rhode Island. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528116241.

Contact Information

Jennifer Ellyn Johnson, PHD
935 Park Ave, #206,
Cranston, RI 02910-2722
(401) 439-2580
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJennifer Ellyn Johnson
GenderFemale
SpecialityPsychologist
Location935 Park Ave, Cranston, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528116241
  • Provider Enumeration Date: 01/08/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Jennifer Ellyn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528116241NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PS00925 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Ellyn Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Ellyn Johnson, PHD
26 Jerry Ln,
North Kingstown, RI 02852-2310

Ph: (401) 439-2580
Jennifer Ellyn Johnson, PHD
935 Park Ave, #206,
Cranston, RI 02910-2722

Ph: (401) 439-2580

Reviews and Comments


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