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

Mark J Johnson, PSYD

Individual provider Psychologist · NPI 1073902466

Mark J Johnson, PSYD is a Clinical Psychologist in Harrisburg, Pennsylvania. Qualified in 1996, 30 years ago. Practices with Pinnacle Health Medical Services, a 1,026-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
30
Licensed in
PA
In the registry since
2015
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

205 S Frnt ST 5TH Fl Bma
Harrisburg, PA 17104-1619
Phone: (717) 231-8360
Fax: (717) 231-8358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS015349 (PA)

Record details

NPI number1073902466
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJanuary 22, 2015
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021
Mailing address409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Pinnacle Health Medical Services — 1026 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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