MS. LYNNETTE JOHNSON PH.D. NPI 1124130513

NPI Information

  • NPI: 1124130513
  • Provider Name: MS. LYNNETTE JOHNSON, PH.D.
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 385 TREMONT AVE
    116F
    EAST ORANGE, NJ
    ZIP 07018
  • Phone: (973) 676-1000

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NPI Details

MS. Lynnette Johnson, PH.D. is an addiction (substance use disorder) psychologist in East Orange, NJ. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. MS. Lynnette Johnson, PH.D. NPI is 1124130513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

385 TREMONT AVE
116F
EAST ORANGE, NJ
ZIP 07018-023
Phone: (973) 676-1000
Fax: (973) 395-7016

The NPI 1124130513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)35SI00308600NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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