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JENNA GABRIELLE JOHNSON PSY D NPI 1710969191


NPI Information

NPI: 1710969191
Provider Name: JENNA GABRIELLE JOHNSON, PSY D
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: SONORA COMMUNITY HOSPITAL

PECOS Registration: Yes

Address:
193 FAIRVIEW LN STE K
SONORA, CA
ZIP 95370
Phone: (209) 536-5144
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Jenna Gabrielle Johnson, PSY D is a specialist in Sonora, CA with 24 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jenna Gabrielle Johnson, PSY D NPI is 1710969191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

193 FAIRVIEW LN STE K
SONORA, CA
ZIP 95370-828
Phone: (209) 536-5144
Fax: (209) 536-5737

The NPI 1710969191 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes with patient and/or family member (HCPCS:90834)

The enumeration date for this NPI number is 11/19/2005 and was last updated on 10/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistPSY18496CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.