SONJA KUBOTA JOHANSSON (NPI# 1063992162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063992162 |
| Entity Type | Individual |
| Full Name | SONJA KUBOTA JOHANSSON |
| Credential | PSY.D. |
| Practice Address |
866 Campus Dr Stanford CA 94305 |
| Mailing Address |
535 Everett Ave Apt 115 Palo Alto CA 94301-1515 |
| Practice Telephone | 2127319293 |
| Mailing Telephone | 2127319293 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
866 CAMPUS DR |
| City | STANFORD |
| State | CA |
| Zip Code | 94305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747478 | Aaron Israel Rosales | Psychologist | 866 Campus Dr, Stanford, CA 94305-8508 | 2020-07-14 |
| 1679128003 | Charlie Champion | Student in an Organized Health Care Education/Training Program | 866 Campus Dr, Stanford, CA 94305-8508 | 2019-08-02 |
| 1811542285 | Elmer Ruben Guardado | Counselor | 866 Campus Dr, Stanford, CA 94305-8508 | 2019-08-02 |
| 1730743188 | Lyndsey Grace Pearsall | Physical Therapist | 866 Campus Dr, Stanford, CA 94305-8508 | 2019-04-30 |
| 1497218143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 866 Campus Dr, Stanford, CA 94305-8508 | 2019-04-10 |
| 1871073585 | Carolina Corrales | Counselor | 866 Campus Dr, Stanford, CA 94305-8508 | 2018-08-21 |
| 1750861852 | Marissa C Floro | Psychologist | 866 Campus Dr, Stanford, CA 94305-8508 | 2018-08-17 |
| 1447765078 | Asale Hubbard | Psychologist | 866 Campus Dr, Stanford, CA 94305-8508 | 2017-12-05 |
| 1164940847 | Shelly Thurlo Sheinbein | Counselor | 866 Campus Dr, Stanford, CA 94305-8508 | 2017-09-01 |
| 1801320288 | Elise Ravel | Pharmacist | 866 Campus Dr, Stanford, CA 94305-8508 | 2017-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902049109 | Paris C. Schaefer | Psychologist | Stanford University, Vaden Health Center, Caps, 866 Campus Drive, Stanford, CA 94305-8580 | 2009-04-17 |
| 1093338386 | Erin Gallagher Armer | Psychologist | 401 Quarry Road, Mc 5719, Stanford, CA 94305-5719 | 2020-05-21 |
| 1497395131 | Raquel Adriana Osorno | Psychologist | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-01-10 |
| 1750861852 | Marissa C Floro | Psychologist | 866 Campus Dr, Stanford, CA 94305-8508 | 2018-08-17 |
| 1447765078 | Asale Hubbard | Psychologist | 866 Campus Dr, Stanford, CA 94305-8508 | 2017-12-05 |
| 1336689348 | Branson Boykins | Psychologist | 866 Campus Dr, Stanford University-vaden Health Center, Stanford, CA 94305-8508 | 2017-02-24 |
| 1538616651 | Jennifer Alexis Ortiz | Psychologist | 401 Quarry Rd, Dept. of Psychiatry, Stanford, CA 94305-5722 | 2016-09-07 |
| 1174989693 | Janie Hong | Psychologist | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2016-01-13 |
| 1770955908 | Kelli Elizabeth Moran-miller | Psychologist | 341 Galvez St, Lacob Family Sports Medicine Center, Stanford, CA 94305-6106 | 2015-10-27 |
| 1003295494 | Heather Rachel Rosen | Psychologist | 401 Quarry Road, Stanford, CA 94305 | 2015-05-19 |
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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.