DR. ANNICE MYNNETTE SR. JOHNSON-JULIAN (PSY.D.) – Clinical Psychologist, NPI 1639146764

DR. ANNICE MYNNETTE SR. JOHNSON-JULIAN (PSY.D.) is a healthcare provider. based in Murray, Utah. specializing in Clinical Psychologist. They hold the professional credentials PSY.D.. They hold a License No. 365139-2501 (UT). The NPI Number for DR. ANNICE MYNNETTE SR. JOHNSON-JULIAN (PSY.D.) is 1639146764

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANNICE MYNNETTE SR. JOHNSON-JULIAN (PSY.D.)
NPI
1639146764
Phone
(801) 263-9368
Address
5235 GLENDON ST
Enumeration Date
7 March 2006
Last Update Date
17 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8014832447
Graduation Year
1996 (30 years ago)
PAC ID
1355393208
Group Practice PAC ID
0749247849
Professional Enrollment ID
I20050218000418
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ANNICE MYNNETTE SR. JOHNSON-JULIAN (PSY.D.)

  • 5235, Glendon Street, Murray, Salt Lake County, Utah, 84123, United States

    MURRAY, UT 841238437

    Phone: (801) 263-9368

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749247849View full group profile
NameSpecialtyState
-UT
Clinical PsychologistUT
Nurse PractitionerUT
Clinical PsychologistUT
Clinical Social WorkerUT
Nurse PractitionerUT
Clinical Social WorkerMI
Nurse PractitionerUT
Clinical Social WorkerUT
Nurse PractitionerUT

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Frequently asked questions

What NPI should I save for DR. ANNICE MYNNETTE SR. JOHNSON-JULIAN (PSY.D.)?
Save NPI 1639146764 if you need a stable reference for DR. ANNICE MYNNETTE SR. JOHNSON-JULIAN (PSY.D.).
Is DR. ANNICE MYNNETTE SR. JOHNSON-JULIAN (PSY.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. ANNICE MYNNETTE SR. JOHNSON-JULIAN (PSY.D.) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for DR. ANNICE MYNNETTE SR. JOHNSON-JULIAN (PSY.D.). Clinical services aligned with this taxonomy classification.
Where is DR. ANNICE MYNNETTE SR. JOHNSON-JULIAN (PSY.D.)'s primary listing?
We display Murray, Utah because that is what the record indicates for DR. ANNICE MYNNETTE SR. JOHNSON-JULIAN (PSY.D.).
What if Murray, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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