MS. CHRISTA MARIE JOHNSON (NPI# 1972758001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972758001 |
| Entity Type | Individual |
| Full Name | MS. CHRISTA MARIE JOHNSON |
| Credential | PSYD |
| Practice Address |
111 Smith Ranch Rd San Rafael CA 94903-1939 |
| Practice Telephone | 4154913056 |
| Mailing Telephone | 4154913056 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2016-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY28259 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104214121 | Christa Holland Johnson | Psychologist | 934 E Chocolate Ave, Hershey, PA 17033-1215 | 2014-12-29 |
| 1134467616 | Christa Johnson | Registered Nurse | 2037 County Road Xx, Rothschild, WI 54474-9008 | 2013-01-17 |
| 1629292909 | Christa Marie Johnson | Chiropractor | 739 Canfield Rd, Manistee, MI 49660-9630 | 2007-04-11 |
| 1083248413 | Christa N Johnson | Case Manager/Care Coordinator | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2020-02-25 |
| 1477023158 | Christa Johnson | Pharmacist | 1960 Nw 167th Pl Ste 100, Beaverton, OR 97006-4805 | 2018-11-26 |
| 1952656639 | Christa Marie Johnson | Audiologist | 1000 Elmwood Ave, Suite # 400, Rochester, NY 14620-3042 | 2012-07-18 |
| 1952595761 | Christa Lynn Johnson | Emergency Medicine | 363 Highland Ave, Fall River, MA 02720-3703 | 2007-09-05 |
| 1356364012 | Christa Johnson | Pediatrics | 25 Constitution Blvd S, Shelton, CT 06484-4351 | 2006-07-25 |
| Street Address |
111 SMITH RANCH RD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396774436 | Peggy Kwun | Psychiatry & Neurology | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2006-07-01 |
| 1164021341 | Kim Huong Huynh | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2020-10-20 |
| 1164044483 | Corinne Heimer | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2020-05-08 |
| 1487283685 | Miriam Fagan | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2020-04-08 |
| 1962063537 | Laura Meredith Cohen | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2019-06-25 |
| 1295398519 | Maxwell Berlyant | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2019-04-22 |
| 1043777618 | Stephanie Lopez | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2019-03-01 |
| 1770021503 | Jennica Murray-elizondo | Marriage & Family Therapist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2017-01-31 |
| 1932653235 | James Paul Roehrig | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2016-08-04 |
| 1174979660 | Shiri Lichtenstein | Psychologist | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 | 2016-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871135665 | Tina M Galordi | Psychologist | 1414 4th St Ste 201, San Rafael, CA 94901-2857 | 2019-10-13 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1134581986 | Stephen Willis | Psychologist | 4460 Redwood Hwy # 16-320, San Rafael, CA 94903-1951 | 2016-03-22 |
| 1720367956 | Albert Wong | Psychologist | 1 H Street, Suite 203, San Rafael, CA 94901 | 2011-08-05 |
| 1932497377 | Jessica Erin Pullins | Psychologist | 1299 4th St Ste 401, San Rafael, CA 94901-3030 | 2011-07-19 |
| 1194031872 | Duy D. Vu | Psychologist | 4460 Redwood Hwy Ste 16-303, San Rafael, CA 94903-1951 | 2010-08-19 |
| 1871826487 | Aninha Esperanza Livingstone | Psychologist | 700 E St San Rafael Ca 94901, Suite 201, San Rafael, CA 94901 | 2009-09-14 |
| 1609012574 | Ruud Vanwijnen | Psychologist | 15 North Ave, 2-a, San Rafael, CA 94903-4823 | 2008-12-26 |
| 1033386768 | Boukje Elisabeth Eerkens | Psychologist | 101 Lucas Valley Rd Ste 269, San Rafael, CA 94903-1761 | 2008-05-12 |
| 1255547154 | Geraldine Alpert | Psychologist | 33 Bungalow Ave, San Rafael, CA 94901-5140 | 2007-05-15 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on MS. CHRISTA MARIE 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.