STACY KIM JOHNSTON PSYCHOLOGY, INC. (NPI# 1316554322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316554322 |
| Entity Type | Organization |
| Organization Name | STACY KIM JOHNSTON PSYCHOLOGY, INC. |
| Practice Address |
501 W Broadway Ste 800 San Diego CA 92101-3546 |
| Practice Telephone | 6190778072 |
| Mailing Telephone | 6190778072 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | STACY JOHNSTON (OWNER) |
| Authorized Official Telephone | 6190778072 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
501 W BROADWAY STE 800 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487057451 | Jessica Nicolosi | Behavioral Analyst | 501 W Broadway Ste 800, San Diego, CA 92101 | 2014-10-03 |
| 1336749001 | Cali Ann Martinez | Behavior Technician | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-10-30 |
| 1518567536 | Georgia Autumn Dickerson | Behavior Technician | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-10-28 |
| 1477152429 | Rosa Maria Tascher | Technician, Other | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-10-21 |
| 1467051425 | Maria Dolores Estrada | Behavior Technician | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-10-21 |
| 1518565142 | Koosha Heidari | Behavior Technician | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-10-15 |
| 1295332070 | Jialin Liu | Behavior Technician | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-10-05 |
| 1861099764 | Daisy Marcial | Behavior Technician | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-10-04 |
| 1043827710 | Jennifer Villalobos | Behavioral Analyst | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-09-28 |
| 1629685375 | Elizabeth Chantell Allen | Behavior Technician | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2020-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
| Find all providers in SAN DIEGO | ||||
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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.