Provider Demographics
NPI:1639683733
Name:JOHNSON, ROBERT TURNER (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TURNER
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6715 AUSTIN ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3575
Mailing Address - Country:US
Mailing Address - Phone:408-505-9533
Mailing Address - Fax:
Practice Address - Street 1:6715 AUSTIN ST APT 2A
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3575
Practice Address - Country:US
Practice Address - Phone:408-505-9533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-28
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810009040103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical