DR. SOPHIA ALEXANDRA JOHNSON (NPI# 1538404165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538404165 |
| Entity Type | Individual |
| Full Name | DR. SOPHIA ALEXANDRA JOHNSON |
| Credential | PHD |
| Practice Address |
4600 Kietzke Ln Ste M246 Reno NV 89502-5000 |
| Practice Telephone | 9259980780 |
| Mailing Telephone | 9259980780 |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2017-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0804 | NV | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
22563 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645803 | Sophia Johnson | Occupational Therapy Assistant | 204 E Jacob St, Louisville, KY 40203-2342 | 2019-12-10 |
| 1972004703 | Sophia Kaye Johnson | Counselor | 3165 Wa-20 Suite#1, Oak Harbor, WA 98277 | 2018-02-27 |
| 1093187825 | Sophia Andrea Johnson | Nurse Practitioner | 7151 Nw 46th Ct, Lauderhill, FL 33319-4061 | 2015-10-20 |
| 1447626395 | Sophia Johnson | Speech-Language Pathologist | 940 N Tyler Rd Ste 201, Wichita, KS 67212-3266 | 2015-08-14 |
| 1841679743 | Sophia Johnson | Licensed Practical Nurse | 1945 Orlando Rd, Columbus, OH 43232-2743 | 2015-05-26 |
| 1457749533 | Sophia Johnson | Counselor | 571 Nectar Ln, Albany, GA 31705-9505 | 2014-12-25 |
| 1861003519 | Sophia Johnson | Pharmacist | 1250 Lake Ave, Storm Lake, IA 50588-1997 | 2020-08-14 |
| 1215453170 | Sophia A Johnson | Technician, Other | 1001 W Cypress Creek Rd Ste 120, Fort Lauderdale, FL 33309-1947 | 2017-08-22 |
| 1174047500 | Sophia Shelton Johnson | Dietitian, Registered | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2017-07-27 |
| 1467897595 | Sophia Johnson | Emergency Medicine | 1726 E Beverly Ave Ste A, Kingman, AZ 86409-3500 | 2013-05-02 |
| Street Address |
4600 KIETZKE LN STE M246 |
| City | RENO |
| State | NV |
| Zip Code | 89502-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053812313 | Karen Medina | Behavior Technician | 4600 Kietzke Ln Ste M246, Reno, NV 89502-5000 | 2018-02-22 |
| 1174024418 | Sydney C Coolbaugh | Behavioral Analyst | 4600 Kietzke Ln Ste M246, Reno, NV 89502-5000 | 2018-02-22 |
| 1659871630 | Esmeralda Pantoja | Behavioral Analyst | 4600 Kietzke Ln Ste M246, Reno, NV 89502-5000 | 2018-02-16 |
| 1386142701 | Jonathan Patrick Allen | Behavioral Analyst | 4600 Kietzke Ln Ste M246, Reno, NV 89502-5000 | 2018-01-31 |
| 1700390465 | Megan Leann Malkmus | Behavioral Analyst | 4600 Kietzke Ln Ste M246, Reno, NV 89502-5000 | 2017-11-16 |
| 1942711577 | Carla June Dodson | Behavioral Analyst | 4600 Kietzke Ln Ste M246, Reno, NV 89502-5000 | 2017-10-23 |
| 1780101899 | Julianne Waltenburg | Behavior Technician | 4600 Kietzke Ln Ste M246, Reno, NV 89502-5000 | 2017-08-29 |
| 1487039434 | Diane Lopez | Counselor | 4600 Kietzke Ln Ste M246, Reno, NV 89502 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739646 | Leah M. Leonard-steckline | Psychologist | 1423 S Arlington Ave, Reno, NV 89509-2649 | 2020-01-22 |
| 1376192872 | Cheryl L Garn | Psychologist | 1875 Plumas St Ste 6, Reno, NV 89509-3387 | 2019-09-06 |
| 1801365861 | Richard M Baldo Phd Incorporated | Psychologist | 5421 Kietzke Ln Ste 202, Reno, NV 89511-1025 | 2018-11-20 |
| 1598234924 | John Paul Crum | Psychologist | 645 Plumas St, Reno, NV 89509-1730 | 2018-11-14 |
| 1760950638 | A Wiser Mind Nevada LLC | Psychologist | 401 Ryland St Ste 200a, Reno, NV 89502-1643 | 2018-11-08 |
| 1467850982 | Jordan Thomas Bonow | Psychologist | 975 Kirman Avenue (116), Reno, NV 89502 | 2014-12-16 |
| 1407122724 | Ruth Gentry | Psychologist | 10631 Professional Cir Ste A, Reno, NV 89521-5835 | 2012-03-30 |
| 1275847709 | Lynda J Ross | Psychologist | 2450 Vassar St, 3a, Reno, NV 89502 | 2010-07-26 |
| 1861655938 | Agape Psychological Services | Psychologist | 210 Marsh Ave, Suite 100, Reno, NV 89509-1647 | 2008-07-08 |
| 1982873071 | Mountain Employee Assistance Program | Psychologist | 1091 Haskell Street, Reno, NV 89509 | 2008-02-22 |
| Find all providers in RENO | ||||
Please comment or provide details below to improve the information on DR. SOPHIA ALEXANDRA JOHNSON.
| 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.