Jana Kay Johnson, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18487 Issued in CA

Practice address

41865 Boardwalk
Suite 215
Palm Desert, CA 92211-9026

Phone

(760) 341-6655

Fax

(760) 341-6685

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1114097946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41865 BOARDWALK",
            "address_2": "SUITE 215",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119026",
            "telephone_number": "760-341-6655",
            "fax_number": "760-341-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41865 BOARDWALK",
            "address_2": "SUITE 215",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119026",
            "telephone_number": "760-341-6655",
            "fax_number": "760-341-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JANA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan L Warren, Medical Corporation
• John F Kennedy Memorial Foundation
• John N Taylor, MD a Professional Corporation
• Andrzej John
• Raina Johns
• Sideny Johnson, OTD/L
• Casler Johnston
• Edith Ann Jones-Poland, MD
• Pamela Sue Jones-Vandernagel, LCSW
• Aleesa M Jones

• Clinical Psychologist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.