Bryan Johnson

Psychologist · Bothell, WA

Individual Active NPI

NPI number 1205205879

Practice location

10414 Beardslee Blvd
Bothell, WA 98011-3205
Phone
(425) 486-0658

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NPI record

NPI
1205205879
Entity type
Individual (Type 1)
Enumeration date
September 24, 2015
Last updated
January 3, 2025
Certified
January 3, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X PY61040080 WA
Counselor 101Y00000X MC61000726 WA

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone
(425) 277-1311

About Bryan Johnson

Bryan Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 10414 Beardslee Blvd, Bothell, WA 98011-3205. The NPI number 1205205879 was assigned on September 24, 2015 and the record was last updated on January 3, 2025.

Bryan Johnson lists 2 licenses in the registry: #PY61040080 (WA) for Psychologist; #MC61000726 (WA) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan Johnson?

The NPI number is 1205205879.

What is the phone number of Bryan Johnson?

The phone number listed for the practice location is (425) 486-0658.

Where is Bryan Johnson located?

10414 Beardslee Blvd, Bothell, WA 98011-3205.

What is the taxonomy code for Bryan Johnson?

The primary taxonomy code is 103T00000X – Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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