Dan Johnson PHD Clinical Neuropsychologist,p.a.
NPI 1174661003 · Specialist · Jonesboro, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dan Johnson PHD Clinical Neuropsychologist,p.a. is a Specialist organization in Jonesboro, AR (NPI 1174661003).
Provider details
- NPI number
- 1174661003
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Dan Johnson, Ceo(870) 933-5174
- License
- 01-10P (AR)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Dan Johnson PHD Clinical Neuropsychologist,p.a.'s NPI number?
- Dan Johnson PHD Clinical Neuropsychologist,p.a.'s National Provider Identifier (NPI) is 1174661003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dan Johnson PHD Clinical Neuropsychologist,p.a.?
- Dan Johnson PHD Clinical Neuropsychologist,p.a. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Dan Johnson PHD Clinical Neuropsychologist,p.a. located?
- Dan Johnson PHD Clinical Neuropsychologist,p.a.'s practice location on file with NPPES is 1201 Fleming Ave, Jonesboro, AR 72401-4311.
- What is Dan Johnson PHD Clinical Neuropsychologist,p.a.'s phone number?
- The practice phone number listed in the NPPES registry for Dan Johnson PHD Clinical Neuropsychologist,p.a. is (870) 933-5174.
- Does Dan Johnson PHD Clinical Neuropsychologist,p.a. accept Medicare?
- Dan Johnson PHD Clinical Neuropsychologist,p.a. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dan Johnson PHD Clinical Neuropsychologist,p.a.?
- The authorized official listed on Dan Johnson PHD Clinical Neuropsychologist,p.a.'s NPPES record is Dan Johnson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dan Johnson PHD Clinical Neuropsychologist,p.a.'s NPI active?
- Yes — Dan Johnson PHD Clinical Neuropsychologist,p.a.'s NPI (1174661003) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.