DR. STACY KIM JOHNSTON (NPI# 1063569135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063569135 |
Entity Type | Individual |
Full Name | DR. STACY KIM JOHNSTON |
Credential | PHD |
Practice Address |
4730 Palm Ave 202 La Mesa CA 91941-5266 |
Mailing Address |
4730 Palm Ave Ste 202 La Mesa CA 91941-5244 |
Practice Telephone | 6197787215 |
Practice Fax Number | 6193289332 |
Mailing Telephone | 6197787215 |
Mailing Fax Number | 6193289332 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2013-08-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY17457 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669571261 | Stacy Lea Johnston | Occupational Therapist | 4415 36 1/2 Street West, St. Louis Park, MN 55416 | 2006-09-21 |
1184920506 | Stacy Lynn Johnston | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2011-02-02 |
Street Address |
4730 PALM AVE 202 |
City | LA MESA |
State | CA |
Zip Code | 91941-5266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659914588 | Aja Encinas | Midwife | 9461 Grossmont Summit Drive Suite A, La Mesa, CA 91941 | 2019-10-23 |
1750889861 | Kasey Higgins | Nurse Practitioner | 10862 Calle Verde # S93, La Mesa, CA 91941 | 2018-01-24 |
1801325238 | Edward Rabinovich, Dds, Inc. | Dentist | 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 | 2017-06-08 |
1003204140 | Cierra Lancaster | Case Manager/Care Coordinator | 4287 Palm Ave #32, La Mesa, CA 91941 | 2014-12-23 |
1710388533 | Affordable In Home Care | Home Health | 7953 Lemon Circle, La Mesa, CA 91941 | 2014-09-11 |
1902206063 | Rachel Llanes | Marriage & Family Therapist | 4849 Schuyler Avenue, La Mesa, CA 91941 | 2014-08-26 |
1497185540 | Benjamin J Mandel | Dentist | 3835 Avocado Blvd #220, Lamesa, CA 91941 | 2013-11-26 |
1487084901 | Accuquest Hearing Centers | Clinic/Center | 5105 Garfield Street, La Mesa, CA 91941 | 2013-11-19 |
1447551353 | John Chuol Kuek | Marriage & Family Therapist | 4060 Fairmount Avenue, San Diego, CA 91941 | 2010-11-09 |
1588808463 | Aesthetic Arts Institute of Plastic Surgery, LLC | Clinic/Center | 8415 Grant Avenue, La Mesa, CA 91941 | 2009-04-23 |
Find all providers in zip 91941 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568919983 | Grace Counseling & Psychotherapy Inc. | Psychologist | 5575 Lake Park Way Ste 100-6, La Mesa, CA 91942-1664 | 2016-09-01 |
1093122608 | John Robert-clyde Helmer | Psychologist | 5360 Jackson Dr Ste 220-c, La Mesa, CA 91942 | 2014-07-15 |
1841541984 | Bruce L. Thiessen | Psychologist | 8360 University Ave, La Mesa, CA 91942-9374 | 2012-09-28 |
1700080132 | Margaret Ann Edel | Psychologist | 7589 El Cajon Blvd, La Mesa, CA 91942-7695 | 2007-06-11 |
1124169347 | John S. Bartholow, Ph.d A Psychological Corp. | Psychologist | 7777 Alvarado Rd # 278, La Mesa, CA 91941-3616 | 2007-02-09 |
1922194703 | James L. Bull | Psychologist | 8787 Center Drive, La Mesa, CA 91942-3034 | 2006-10-05 |
1366464810 | William Loughman Higgins | Psychologist | 3643 Nereis Dr, La Mesa, CA 91941-8012 | 2006-07-24 |
1134148448 | Jay Alperson | Psychologist | 8029 La Mesa Blvd, La Mesa, CA 91941-6434 | 2006-07-18 |
1154346070 | Georges Alexandre Tichy | Psychologist | 8787 Center Dr, La Mesa, CA 91942-3034 | 2006-07-13 |
1609820398 | Idalia E. Mcgivern | Psychologist | 9340 Fuerte Dr, Suite 300, La Mesa, CA 91941-4164 | 2006-05-19 |
Find all providers in LA MESA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.