DR. DEBRA A JOHNSON (NPI# 1619093903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619093903 |
| Entity Type | Individual |
| Full Name | DR. DEBRA A JOHNSON |
| Credential | PH.D. |
| Practice Address |
615 15th St Modesto CA 95354-2510 |
| Practice Telephone | 2095274682 |
| Practice Fax Number | 2095247780 |
| Mailing Telephone | 2095274682 |
| Mailing Fax Number | 2095247780 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY6262 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY6262 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870288 | Debra Ann Johnson | Nurse Practitioner | 12636 Peppertree Pl, Oklahoma City, OK 73142-2513 | 2019-09-19 |
| 1013562172 | Debra Susan Johnson | Technician | 912 Hemlock Rd, Gulfport, MS 39503-5848 | 2019-08-06 |
| 1619430329 | Debra Smanda Johnson | Speech-Language Pathologist | 1021 Southport Dr, Lafayette, IN 47909-6111 | 2019-04-09 |
| 1699134189 | Debra Johnson | Occupational Therapist | 35 Mount Pleasant Rd, Sparta, NJ 07871-3844 | 2016-02-12 |
| 1992105985 | Debra Johnson | Registered Nurse | 2035 Cheyenne Ave, Ionia, IA 50645-9490 | 2014-08-27 |
| 1114290970 | Debra Johnson | Counselor | 28228 Islet Trail, Bonita Springs, FL 34135 | 2012-02-09 |
| 1568764488 | Debra Eunette Johnson | Speech-Language Pathologist | 213 Crakston Ct, Bonaire, GA 31005-3223 | 2010-11-29 |
| 1396952677 | Debra Kay Johnson | Nurse Practitioner | 6440 South Millrock Drive #175, Salt Lake City Comphealth, Salt Lake City, UT 84121 | 2007-05-17 |
| 1952513061 | Debra Ann Johnson | Registered Nurse | 9 Village Lane, Georgetown, MA 01833 | 2007-05-03 |
| 1275757999 | Debra Jo Johnson | Counselor | 2793 Acr. 319, Frankston, TX 75763 | 2007-04-12 |
| Street Address |
615 15TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245346675 | Marian C Riedmiller | Marriage & Family Therapist | 615 15th St, Modesto, CA 95354-2510 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710907340 | Thomas Arnold Hall | Psychologist | 1608 Sunrise Ave Ste 5, Suite 5, Modesto, CA 95350-4678 | 2006-07-19 |
| 1588299242 | Tri-nia Counseling | Psychologist | 1317 Oakdale Rd Ste 230, Modesto, CA 95355-3362 | 2020-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631312 | Kathleen Carroll-wray | Psychologist | 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 | 2020-08-26 |
| 1568082113 | Laura Adery | Psychologist | 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 | 2020-04-23 |
| 1073148938 | Kristine Fleming | Psychologist | 4309 Campbell Dr, Pittsburg, CA 94565-6017 | 2020-03-11 |
| 1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
| 1073144010 | Melissa Alexis Ramirez | Psychologist | 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 | 2020-01-29 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1184264533 | New Vision Counseling Center | Psychologist | 8050 La Mesa Blvd, La Mesa, CA 91942-0335 | 2020-01-14 |
| 1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
| 1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DEBRA A 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.