EMMA JOHNSON HEART AND MIND THERAPY NPI 1093688590

NPI Information

  • NPI: 1093688590
  • Provider Name: EMMA JOHNSON HEART AND MIND THERAPY
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 3508 DALE RD STE B
    MODESTO, CA
    ZIP 95356
  • Phone: (209) 799-7168

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NPI Details

EMMA JOHNSON HEART AND MIND THERAPY is a mental health (including community mental health center) clinic center in Modesto, CA. EMMA JOHNSON HEART AND MIND THERAPY NPI is 1093688590. The provider is registered as an organization entity type.

The provider's business location address is:

3508 DALE RD STE B
MODESTO, CA
ZIP 95356-794
Phone: (209) 799-7168

The provider's authorized official is Emma Johnson .
The authorized official title is Therapist and has the following contact phone number (209) 799-7168.

The enumeration date for this NPI number is 9/29/2025 and was last updated on 9/29/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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