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

Dr. Phillip Johnson, PSYD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457824849

Dr. Phillip Johnson, PSYD is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2019.

Licensed in
MS
In the registry since
2019
Specialties on file
3
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

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
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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 631163 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Psychologist Taxonomy 103T00000X

Record details

NPI number1457824849
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJanuary 8, 2019
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing address1500 E. Woodrow Wilson Ave., Jackson, MS 39216-5116

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