Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Elizabeth Johnson, PSYD

Individual provider Clinical Psychologist · NPI 1174016000

Carolyn Elizabeth Johnson, PSYD is a Clinical Psychologist in Charlottesville, Virginia. Qualified in 2005, 21 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
21
Licensed in
VA
In the registry since
2018
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

145 Ednam Dr Ste 301
Charlottesville, VA 22903-4625
Phone: (434) 284-1574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810003775 (VA)

Record details

NPI number1174016000
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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