Michael D. Johnston, PHD
NPI 1346394913ActiveIndividual· Psychologist· Boise, ID
Psychologist (PHD) with Mountain States Counseling and Psychological Services Plll, practicing in Boise, Idaho. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1346394913 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jan 22, 2007 |
| Last updated in NPPES | Nov 14, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY-359 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (ID) |
|---|
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Mountain States Counseling and Psychological Services PlllBoise, ID · 2 clinicians
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