Clifford Johannsen, PH.D.
Clifford Johannsen, PH.D. is a Group Psychotherapy Psychologist in Salem, OR, registered under NPI 1962627901. This provider registers 8 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 635 CHURCH ST NE, Salem, OR 97301. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0935 | OR | Group Psychotherapy Psychologist primary |
| 0935 | OR | Psychologist |
| 0935 | OR | Addiction (Substance Use Disorder)… |
| 0935 | OR | Cognitive & Behavioral Psychologist |
| 0935 | OR | Clinical Psychologist |
| 0935 | OR | Clinical Child & Adolescent Psychologist |
| 0935 | OR | Forensic Psychologist |
| 0935 | OR | Marriage & Family Therapist |
This provider holds licence 0935 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Clinical Psychologist
- PAC ID
- 4082778519
- Enrollment ID
- I20090129000006
Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Group Psychotherapy covers
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. NUCC Health Care Provider Taxonomy, code 103TP2701X
All registered taxonomy codes
This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TP2701X | Group Psychotherapy Psychologist Group Psychotherapy | 0935 | OR | primary |
| 103T00000X | Psychologist | 0935 | OR | |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist Addiction (Substance Use Disorder) | 0935 | OR | |
| 103TB0200X | Cognitive & Behavioral Psychologist Cognitive & Behavioral | 0935 | OR | |
| 103TC0700X | Clinical Psychologist Clinical | 0935 | OR | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | 0935 | OR | |
| 103TF0200X | Forensic Psychologist Forensic | 0935 | OR | |
| 106H00000X | Marriage & Family Therapist | 0935 | OR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1962627901 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 16, 2007 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | PH.D. |
| Practice address |
635 CHURCH ST NE Salem, OR 97301 (503) 399-9691 Fax (503) 399-9401 |
| Mailing address |
PO BOX 2004 Lake Oswego, OR 97035 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 6 | 2 | 6 | 2 | 7 | 9 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 3 | 2 | 3 | 2 | 5 | 9 | 0 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.