DR. JAN GARY JOHNSON (PH.D.) – Clinical Psychologist, NPI 1730285008

DR. JAN GARY JOHNSON (PH.D.) is a healthcare provider. based in Longview, Washington. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. 2721 (WA). The NPI Number for DR. JAN GARY JOHNSON (PH.D.) is 1730285008

Main info

Male
Sole Proprietor
25 Years Of Experience
Name
DR. JAN GARY JOHNSON (PH.D.)
NPI
1730285008
Phone
(360) 414-8600
Address
945 11TH AVE
Enumeration Date
15 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604148600110
Graduation Year
2001 (25 years ago)
PAC ID
9537415062
Group Practice PAC ID
0244122745
Professional Enrollment ID
I20180712003322
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for DR. JAN GARY JOHNSON (PH.D.)

  • 945, 11th Avenue, Longview, Cowlitz County, Washington, 98632, United States

    SUITE B

    LONGVIEW, WA 986322555

    Phone: (360) 414-8600

    Fax: (360) 636-7372

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes31015$0
View full utilization report →

Insurance plans in this area (ZIP 98632)

Loading plans...

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: 0244122745View full group profile
NameSpecialtyState
Mental Health CounselorWA
Clinical PsychologistWA
Clinical Social WorkerWA
Clinical PsychologistWA
-WA
Nurse PractitionerWA
Mental Health CounselorWA
Clinical PsychologistWA
Clinical Social WorkerWA
Clinical Social WorkerWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for DR. JAN GARY JOHNSON (PH.D.)?
The registry entry for DR. JAN GARY JOHNSON (PH.D.) shows NPI 1730285008.
Should I treat DR. JAN GARY JOHNSON (PH.D.) as an active provider?
Patients and plans typically see DR. JAN GARY JOHNSON (PH.D.) as active in the national extract.
How should patients interpret DR. JAN GARY JOHNSON (PH.D.)'s specialty?
The extract shows Clinical Psychologist for DR. JAN GARY JOHNSON (PH.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JAN GARY JOHNSON (PH.D.)?
DR. JAN GARY JOHNSON (PH.D.) is associated with Longview, Washington in the same public data insurers reference.
Why is information missing for DR. JAN GARY JOHNSON (PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

GLENN HUDSON (LICSW)

Clinical Psychologist
Vancouver Trap & Gun Club, Northeast 76th Street, Sunnyside, Five Corners, Clark County, Washington, 98662, United States
NPI: 1477511202

DR. RICHARD OSTROM (PHD)

Clinical Psychologist
Vancouver Trap & Gun Club, Northeast 76th Street, Sunnyside, Five Corners, Clark County, Washington, 98662, United States
NPI: 1912965484

STEPHEN SCOTT MEHARG (PH.D.)

Clinical Psychologist
945, 11th Avenue, Longview, Cowlitz County, Washington, 98632, United States
NPI: 1164468609
Southwest 11th Street, Longview Farm Highlands, Lee's Summit, Jackson County, Missouri, 64081, United States
NPI: 1033220843
497 NEIL BAY DR
NPI: 1124103551
PO BOX 1845
NPI: 1922128206

DR. KATY ARLEEN HERR (PSY.D)

Clinical Psychologist
1655, Hudson Street, Longview, Cowlitz County, Washington, 98632, United States
NPI: 1356535199

MS. GITIKA TALWAR (PY)

Clinical Psychologist
PO BOX 2429
NPI: 1922401926
945 11TH AVE STE B
NPI: 1780081331