Provider Demographics
NPI:1861140261
Name:MCMASTER, KAJA JOHNSON (PHD)
Entity type:Individual
Prefix:DR
First Name:KAJA
Middle Name:JOHNSON
Last Name:MCMASTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5647
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-0647
Mailing Address - Country:US
Mailing Address - Phone:410-417-7123
Mailing Address - Fax:
Practice Address - Street 1:732 DEEPDENE RD
Practice Address - Street 2:VIRTUAL OFFICE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-9997
Practice Address - Country:US
Practice Address - Phone:410-417-7123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06257103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical