DR. ALEXIS JOHNSON (NPI# 1952914145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952914145 |
| Entity Type | Individual |
| Full Name | DR. ALEXIS JOHNSON |
| Credential | PSY.D |
| Practice Address |
2901 Meadow Lark Dr San Diego CA 92123-2711 |
| Mailing Address |
3019 Natureview Ct Chula Vista CA 91914-5327 |
| Practice Telephone | 8586944752 |
| Mailing Telephone | 6197502792 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255982971 | Alexis Johnson | Licensed Vocational Nurse | 9610 Gold Rush Springs Dr, Tomball, TX 77375-8716 | 2019-09-24 |
| 1902466907 | Alexis Johnson | Behavior Technician | 951 S Hadley Rd, Ortonville, MI 48462-8664 | 2019-06-20 |
| 1679060040 | Alexis Johnson | Behavior Technician | 5138 Glenn Dale Woods Ct, Glenn Dale, MD 20769-9113 | 2018-04-20 |
| 1790143345 | Alexis Johnson | Licensed Practical Nurse | 394 Bostwick Rd, Phelps, NY 14532-9309 | 2016-02-10 |
| 1598170250 | Alexis Marie Johnson | Contractor | 77-6577 Sea View Cir Unit 2, Kailua Kona, HI 96740-7987 | 2014-06-20 |
| 1609141993 | Alexis N. Johnson | Counselor | 3005 Herdsman Way, Raleigh, NC 27614-7564 | 2012-03-20 |
| 1710009444 | Alexis Arleen Johnson | Psychologist | 96 Bouton Rd, South Salem, NY 10590-1426 | 2007-04-04 |
| 1770513079 | Alexis Johnson | Emergency Medicine | Davis Avenue & East Post Road, White Plains Hospital, Department of Emergency Medicine, White Plains, NY 10601 | 2006-07-03 |
| 1306455191 | Alexis Johnson | Physical Therapist | 1703 W Stones Crossing Rd Ste 120, Greenwood, IN 46143-8558 | 2020-07-28 |
| 1285261586 | Alexis Johnson | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-03-25 |
| Street Address |
2901 MEADOW LARK DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083781421 | Corliss Margaret Baca | Social Worker | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2006-11-29 |
| 1194325985 | Andrea Guttman | Marriage & Family Therapist | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2020-10-29 |
| 1083250633 | Sergio Dominique Vamper | Counselor | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-11-19 |
| 1235773888 | Savanna Mei Valencia | Counselor | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-11-06 |
| 1205485018 | Jordyn Skaggs | Student in an Organized Health Care Education/Training Program | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-09-05 |
| 1407404411 | Aura Maria Restrepo | Counselor | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-09-03 |
| 1629623822 | Paige Sparks | Counselor | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-08-05 |
| 1003468737 | Iliana Salas | Counselor | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-07-12 |
| 1154983914 | Christina Marie Swan | Registered Nurse | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-07-02 |
| 1396206751 | Christopher Cal Hines Jr. | Counselor | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
| 1134787815 | Kyline Sky Bellotti | Psychologist | 5025 Collwood Blvd # 3316, San Diego, CA 92115-2126 | 2019-05-29 |
| 1376007815 | San Diego Kids First | Psychologist | 12625 High Bluff Dr Ste 111, San Diego, CA 92130-2053 | 2019-01-29 |
| 1346628179 | Orchid Healthcare Inc | Psychologist | 15373 Innovation Drive, Ste 395, San Diego, CA 92128-3429 | 2015-05-13 |
| 1417394669 | Eliana Hurwich-reiss | Psychologist | 3665 Kearny Villa Rd Ste 200, San Diego, CA 92123-1954 | 2013-05-29 |
| 1548517287 | Jamie Lynn Young | Psychologist | 11665 Avena Pl Ste 204, San Diego, CA 92128-2428 | 2012-08-13 |
| 1063733707 | Kristen J Peairs | Psychologist | 1224 Bush St, San Diego, CA 92103-2809 | 2010-06-16 |
| 1265661714 | Lauren Brookman-frazee | Psychologist | 3020 Children's Way (mc 5033), San Diego, CA 92123 | 2009-07-06 |
| 1083879506 | Mary Lou Macilvaine | Psychologist | 4313 Ridgeway Dr, San Diego, CA 92116-2052 | 2008-07-24 |
| 1144330382 | Mary J Baker-ericzen | Psychologist | 3990 Old Town Ave Ste A207, San Diego, CA 92110-2967 | 2006-08-30 |
| 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.