IndividualActive
Mark Johnson, PSYCHOLOGIST
NPI 1598759342 · Clinical Psychologist · Brandon
Mark Johnson, PSYCHOLOGIST is a Clinical Psychologist provider in Brandon (NPI 1598759342).
Provider details
- NPI number
- 1598759342
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYCHOLOGIST
- Sex
- Male
- License
- LP2679 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
67% 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
Raf Lakenheath 48mdos/Sgoh
Unit 5210 Box 230
Brandon, 09461-0230
Phone: 441638528603
Fax: (163) 852-8649
Mailing address
Psc 41 Box 677
Brandon, SUFFOLK 09464
Registry dates
- Enumerated
- 2005-09-08
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mark Johnson's NPI number?
- Mark Johnson's National Provider Identifier (NPI) is 1598759342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Johnson's specialty?
- Mark Johnson is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Mark Johnson located?
- Mark Johnson's practice location on file with NPPES is Raf Lakenheath 48mdos/Sgoh, Brandon, 09461-0230.
- What is Mark Johnson's phone number?
- The practice phone number listed in the NPPES registry for Mark Johnson is 441638528603.
- Is Mark Johnson's NPI active?
- Yes — Mark Johnson's NPI (1598759342) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.