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Bryan Johnson

Psychologist β€’ Bothell, WA

Active NPI 1205205879 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

10414 Beardslee Blvd
Bothell, WA 980113205

Call 4254860658 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

10414 Beardslee Blvd

Bothell, WA 980113205

Telephone 4254860658
Organization at the Same NPPES Address or Phone
Healthpoint Facility NPI 1821096405

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

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Healthpoint. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Enrolled in Medicare (PECOS)

Bryan Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Bryan Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bothell and Washington

12 active clinicians are listed under Psychologist with a practice address in Bothell, WA (1,089 in Washington).

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

Telehealth indicator in Bothell

0% of these 12 clinicians have the CMS telehealth indicator.

16.7% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

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: 2025-01-03
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES WA PY61040080

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA MC61000726

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20210818000809

Enrollment State Jurisdiction

WA

PECOS Control ID

9537564208

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Healthpoint

10414 Beardslee Blvd, Bothell, WA 980113205

Phone: 4254860658

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Dr. John Brinjak , DO

Family Medicine

NPI 1699335851

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Chin , MD

Family Medicine

NPI 1477553394

Doctor of Medicine (M.D.)

Manoj Easaw

Family Medicine

NPI 1548672553
Bowhee Gwak

Family Medicine

NPI 1366856569
Ana Haberman

Nurse Practitioner

NPI 1578139960
Karlie Hippman

Physician Assistant

NPI 1639728090

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Business Mailing Address July 06, 2020

Registered at 955 POWELL AVE SW, RENTON, WA 980572908 (Tel: 4252771311)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2020

Counselor (license number reported to NPPES: WA MC61000726)

πŸ“
Updated Practice Location May 06, 2019

Registered at 10414 BEARDSLEE BLVD, BOTHELL, WA 980113205 (Tel: 4254860658)

βœ…
NPI Profile Active July 06, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 06, 2016

Registered at 411 SW MORRISON ST, PORTLAND, OR 972041406 (Tel: 5033522400)

πŸ“
Business Mailing Address (Initial Record) July 06, 2016

Registered at 363 NW GINA WAY, APT#201, ALOHA, OR 970069012 (Tel: 2535836394)

πŸ‘€
Provider Name / Credentials (Initial Record) July 06, 2016

Recorded as BRYAN JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2016

Counselor

🟒
Initial NPI Registration & Enumeration September 24, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205205879
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2015
Last Update: January 03, 2025
Sole Proprietor: No

Mailing Address

955 Powell Ave Sw

Renton, WA 980572908

Phone: 4252771311

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.