DR. MELISSA JEAN JOHNSON PH.D. NPI 1699979906

NPI Information

  • NPI: 1699979906
  • Provider Name: DR. MELISSA JEAN JOHNSON, PH.D.
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 95 N MARENGO AVE
    SUITE 205
    PASADENA, CA
    ZIP 91101
  • Phone: (626) 585-8075

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NPI Details

DR. Melissa Jean Johnson, PH.D. is a clinical child and adolescent psychologist in Pasadena, CA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. DR. Melissa Jean Johnson, PH.D. NPI is 1699979906. 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:

95 N MARENGO AVE
SUITE 205
PASADENA, CA
ZIP 91101-764
Phone: (626) 585-8075
Fax: (626) 585-0440

The NPI 1699979906 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 enumeration date for this NPI number is 6/12/2007 and was last updated on 9/11/2025.

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
1103TC0700XPsychologistClinicalPSY13102CALIFORNIANo
2103TC2200XPsychologistClinical Child & AdolescentPSY13102CALIFORNIAYes

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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