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Dr. Audrea Youngman Johnson , PhD

Psychologist β€’ Georgetown, TX

Active NPI 1417249178 Individual Practitioner Female Practitioner
Practice location in NPPES

3613 Williams Dr Ste 1005
Georgetown, TX 786281376

Call 7372794700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3613 Williams Dr Ste 1005

Georgetown, TX 786281376

Telephone 7372794700
Fax 7372794500
Organization at the Same NPPES Address or Phone
Katrina Fairchild, Pllc Facility NPI 1679438790

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Georgetown and Texas

5 active clinicians are listed under Psychologist with a practice address in Georgetown, TX (2,141 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-02-10
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - School

NUCC Taxonomy Code: 103TS0200X

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location February 10, 2022

Registered at 3613 WILLIAMS DR STE 1005, GEORGETOWN, TX 786281376 (Tel: 7372794700)

πŸ“
Updated Business Mailing Address February 10, 2022

Registered at 3613 WILLIAMS DR STE 1005, GEORGETOWN, TX 786281376 (Tel: 7372794700)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2022

Psychologist

βœ…
NPI Profile Active April 10, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location April 10, 2017

Registered at 9015 MOUNTAIN RIDGE DR, HOUSTON BLDG. STE 200, AUSTIN, TX 787597370 (Tel: 5122014006)

πŸ“
Updated Business Mailing Address April 10, 2017

Registered at 1906 SUMMIT HILL DR, GEORGETOWN, TX 786267073 (Tel: 4695346081)

πŸ‘€
Provider Name / Credentials Updated April 10, 2017

Recorded as AUDREA JOHNSON, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2017

Psychologist

βœ…
NPI Profile Active May 12, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 12, 2011

Registered at 401 QUARRY ROAD, STANFORD, CA 94305 (Tel: 6503265530)

πŸ“
Business Mailing Address (Initial Record) May 12, 2011

Registered at 7601 BLOSSOM LN, FRISCO, TX 750345473 (Tel: 7704039851)

πŸ‘€
Provider Name / Credentials (Initial Record) May 12, 2011

Recorded as AUDREA JOHNSON, BA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2011

Psychologist

🟒
Initial NPI Registration & Enumeration May 12, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417249178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2011
Last Update: February 10, 2022
Sole Proprietor: Yes

Mailing Address

3613 Williams Dr Ste 1005

Georgetown, TX 786281376

Phone: 7372794700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.