Bryan Johnson
NPI 1205205879 · Psychologist · Bothell, WA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bryan Johnson is a Psychologist provider in Bothell, WA (NPI 1205205879).
Provider details
- NPI number
- 1205205879
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- MC61000726 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- 2015-09-24
- Last updated
- 2025-01-03
- Certified
- 2025-01-03
Frequently asked questions
- What is Bryan Johnson's NPI number?
- Bryan Johnson's National Provider Identifier (NPI) is 1205205879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryan Johnson's specialty?
- Bryan Johnson is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Bryan Johnson located?
- Bryan Johnson's practice location on file with NPPES is 10414 Beardslee Blvd, Bothell, WA 98011-3205.
- What is Bryan Johnson's phone number?
- The practice phone number listed in the NPPES registry for Bryan Johnson is (425) 486-0658.
- Does Bryan Johnson accept Medicare?
- Bryan Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bryan Johnson's NPI active?
- Yes — Bryan Johnson's NPI (1205205879) is active in the NPPES registry as of the last update on 2025-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.