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NPI Code Detail

MEDICARE: DR. JERI S. JOHNSTON MFT, PSY.D

MEDICARE: DR. JERI S. JOHNSTON MFT, PSY.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist34314CA

General Provider Information

NPI Number : 1407076516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JERI S. JOHNSTON MFT, PSY.D
Provider Business Mailing Address
First Line : 5655 LINDERO CANYON RD STE 303
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91362-4045
Country : US
Telephone Number : 805-497-3632
Fax Number : 805-497-6432
Provider Business Practice Location Address
First Line : 5655 LINDERO CANYON RD STE 303
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91362-4045
Country : US
Telephone Number : 805-497-3632
Fax Number : 805-497-6432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2007
Last Update Date : 01/15/2026

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