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

Dr. Jacoba Johnson, PHD

Individual provider Clinical Psychologist · NPI 1982211058

Dr. Jacoba Johnson, PHD is a Clinical Psychologist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

255 S 17th St
Philadelphia, PA 19103-6231
Phone: (267) 403-3035
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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 PS019061 (PA)

Record details

NPI number1982211058
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 23, 2020
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

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