NOAH JOHNSTON (NPI# 1538703962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538703962 |
| Entity Type | Individual |
| Full Name | NOAH JOHNSTON |
| Practice Address |
2305 Historic Decatur Rd Ste 100 San Diego CA 92106-6071 |
| Practice Telephone | 6193616143 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
2305 HISTORIC DECATUR RD STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92106-6071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659704542 | Sarah Hanem Izaguirre | Counselor | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 | 2013-08-14 |
| 1982240651 | Dustine Doan | Case Manager/Care Coordinator | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-11-18 |
| 1306489737 | Perlita Cecilia Ortiz | Case Manager/Care Coordinator | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-10-17 |
| 1376184465 | Eric Van Der Voort Psychology PC | Community/Behavioral Health | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-10-01 |
| 1609422286 | Ashlee Lauren Bolt Nursing Inc | Clinic/Center | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-08-10 |
| 1225680341 | Kim Elizier Sorrell | Counselor | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-07-09 |
| 1104390442 | Heart of The Matter Family Counseling Inc | Marriage & Family Therapist | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-01-21 |
| 1366926495 | Eric William Van Der Voort | Psychologist | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2018-09-25 |
| 1427415967 | Integrative Mind & Body Psychotherapy, Inc. | Psychologist | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2016-01-27 |
| 1447672191 | Kristen Marie O'dwyer | Social Worker | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 | 2014-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650300 | Ktre1, LLC | Assisted Living Facility | 3219 Canon St., San Diego, CA 92106 | 2019-07-03 |
| 1093289910 | Ahsha Smith | Occupational Therapist | 2026 Roosevelt Road, #105, San Diego, CA 92106 | 2019-01-14 |
| 1710429147 | William Anthony Rodriquez | Social Worker | 140 Sylvester Ln. Building 500, Sarp Naval Base Pt Loma, San Diego, CA 92106 | 2016-11-16 |
| 1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
| 1285945451 | Danielle R Michaelis Castillo | Marriage & Family Therapist | 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 | 2010-06-23 |
| 1588991145 | Philip Charles Rumsey | Dentist | 1050 Rosecrans St., Suite J, San Diego, CA 92106 | 2009-11-03 |
| 1801024575 | David Michael Spera | Dentist | 1050 Rosecrans, #j, San Diego, CA 92106 | 2009-07-01 |
| 1548408834 | Dolores Sanchez Pullen | Counselor | 1360 Rosecrans Street, Suite I, San Diego, CA 92106 | 2009-01-26 |
| 1215188362 | Jodi Lynn Ceballos | Psychologist | 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 | 2008-10-07 |
| 1407051485 | James Robert Becroft | Chiropractor | 5055 N. Harbor Dr, 110, San Diego, CA 92106 | 2007-06-19 |
| Find all providers in zip 92106 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1487298840 | Garrett Ives | Peer Specialist | 2909 Keats St Apt 7, San Diego, CA 92106-2345 | 2019-10-29 |
| 1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1811434467 | Deborah Sue Lynn | Peer Specialist | 140 W. Arbor Dr., Ucsd Gifford Outpatient Clinic, San Diego, CA 92103-2421 | 2017-01-20 |
| 1023463163 | Miguel Pablo Surposa | Peer Specialist | 5711 Bolivar St, San Diego, CA 92139-1617 | 2016-04-26 |
| 1376140590 | Leon Samuel Mancilla | Peer Specialist | 5555 Reservoir Dr, San Diego, CA 92120-5134 | 2020-10-01 |
| 1982210092 | Nicole Lynn Iwan | Peer Specialist | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-09-23 |
| 1962014001 | Paulina Alvarado | Peer Specialist | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-08-19 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on NOAH JOHNSTON.
| 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.