# YELLOW BRICK CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yellow Brick Clinic: ADHD, Autism, Developmental Behavioral Health, Yellow Brick Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932687704
- **Authorized official:** DR. KATHLEEN ELIZABETH JOHNSON DNP, PMHNP, FNP,PMHS (NURSE PRACTITIONER)
- **Authorized official phone:** (425) 777-5467

## Contact information

- **Practice address:** DO NOT PUBLISH, RENTON, WA 98056-2715
- **Practice address phone:** (425) 777-5467
- **Practice address fax:** (833) 631-6941
- **Mailing address:** DO NOT PUBLISH, RENTON, WA 98056-2715
- **Mailing address phone:** (425) 736-9609
- **Mailing address fax:** (833) 631-6941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | AP60786815 | WA | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 04/27/2023