STACI R. JOHNSON (NPI# 1790977502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790977502 |
| Entity Type | Individual |
| Full Name | STACI R. JOHNSON |
| Other Name | STACI R. BUTLER |
| Credential | M.D. |
| Practice Address |
4550 Eucalyptus Ave Chino CA 91710-9215 |
| Practice Telephone | 3106298989 |
| Mailing Telephone | 3106298989 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2012-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A85895 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506235 | Staci R Johnson | Counselor | 14149 Ledgewood Way, Carmel, IN 46032-9259 | 2020-04-06 |
| 1326521212 | Staci Johnson | Counselor | 1314 E Sonterra Blvd Ste 2208, San Antonio, TX 78258-4287 | 2018-09-07 |
| 1538325907 | Staci L Johnson | Registered Nurse | 2751 Debarr Rd Ste 310, Anchorage, AK 99508-6804 | 2008-08-05 |
| 1306394010 | Staci Johnson | Psychologist | 66 School St, Monaville, Logan, WV 25601-9605 | 2016-09-12 |
| 1326425158 | Staci Johnson | Speech-Language Pathologist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2015-04-30 |
| 1851721641 | Staci Johnson | Marriage & Family Therapist | 1011 Goodrich Blvd, Commerce, CA 90022-5102 | 2013-11-15 |
| 1356589907 | Staci Marie Johnson | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2009-02-04 |
| Street Address |
4550 EUCALYPTUS AVE |
| City | CHINO |
| State | CA |
| Zip Code | 91710-9215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922341502 | Emily Fu | Psychiatry & Neurology | 3750 Grand Ave, Chino, CA 91710-5478 | 2013-04-01 |
| 1205180411 | Cynthia Ann Coles | Psychiatry & Neurology | 14901 Central Ave., California Institute for Men, Chino, CA 91710 | 2012-11-09 |
| 1770798902 | Esther Liba Chodakiewitz | Psychiatry & Neurology | 11800 Central Ave, #125, Chino, CA 91710 | 2007-05-11 |
| 1982792990 | Stephen Mohaupt | Psychiatry & Neurology | 12598 Central Ave Ste 219, Chino, CA 91710-3530 | 2006-10-11 |
| 1275640344 | Hassan M Mahfoozi | Psychiatry & Neurology | 12598 Central Ave #110, Chino, CA 91710 | 2006-08-24 |
| 1760464226 | Syeda A Baig | Psychiatry & Neurology | 13141 Central Ave, Suite, H, Chino, CA 91710 | 2005-11-18 |
| 1912553140 | Michael M. Lee, D.o., Inc | Psychiatry & Neurology | 5353 G St, Chino, CA 91710-5250 | 2019-08-13 |
| 1568880045 | Michele Chu | Psychiatry & Neurology | 3750 Grand Ave, Chino, CA 91710 | 2014-04-02 |
| 1003238510 | Ebmd, P.C. | Psychiatry & Neurology | 5353 G St, Chino, CA 91710-5249 | 2014-01-17 |
| 1720320989 | Nandita Puchakayala | Psychiatry & Neurology | 12555 Central Ave Ste C, Chino, CA 91710-3569 | 2013-03-26 |
| Find all providers in CHINO | ||||
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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.