Michael Bruce Johnson, PHD

Psychologist · Spicewood, TX

Individual Active NPI

NPI number 1629215728

Practice location

2406 Sunset Vista Cir
Spicewood, TX 78669-2094
Phone
(512) 228-2126

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NPI record

NPI
1629215728
Entity type
Individual (Type 1)
Enumeration date
January 12, 2009
Last updated
October 23, 2022
Certified
May 12, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 13-21P AR
Counseling Psychologist 103TC1900X PSY003246 GA
Counseling Psychologist 103TC1900X 13-21P AR
Exercise & Sports Psychologist 103TE1100X PSY003246 GA
Exercise & Sports Psychologist 103TE1100X 13-21P AR
Group Psychotherapy Psychologist 103TP2701X PSY003246 GA

About Dr. Johnson

Michael Bruce Johnson, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 2406 Sunset Vista Cir, Spicewood, TX 78669-2094. The NPI number 1629215728 was assigned on January 12, 2009 and the record was last updated on October 23, 2022.

Dr. Johnson lists 6 licenses in the registry: #13-21P (AR) for Psychologist; #PSY003246 (GA) for Counseling Psychologist; #13-21P (AR) for Counseling Psychologist; #PSY003246 (GA) for Exercise & Sports Psychologist; #13-21P (AR) for Exercise & Sports Psychologist; #PSY003246 (GA) for Group Psychotherapy Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Bruce Johnson, PHD?

The NPI number is 1629215728.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (512) 228-2126.

Where is Dr. Johnson located?

2406 Sunset Vista Cir, Spicewood, TX 78669-2094.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 103T00000X – Psychologist; 5 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.