Active NPI
Abby Marie Brewer-Johnson, PSY.D.
- Adult Development & Aging Psychologist
- San Diego, CA
National Provider Identifier
1346321742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Development & Aging Psychologist
- License
- PSY21142
- Practice address
- 3101 4TH Ave
San Diego, CA 92103-5802 - Phone
- (858) 220-9666
- Fax
- (619) 542-0332
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Adult Development & Aging Psychologist | 103TA0700X | PSY21142 | CA | Primary |
| Clinical Psychologist | 103TC0700X | PSY21142 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY21142 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY21142 | CA |
Addresses
Primary practice location
3101 4TH Ave
San Diego, CA 92103-5802
Mailing address
3101 Fourth Avenue
San Diego, CA 92024
Phone (858) 220-9666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY21142 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1346321742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 FOURTH AVENUE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92024",
"telephone_number": "858-220-9666",
"fax_number": "619-542-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035802",
"telephone_number": "858-220-9666",
"fax_number": "619-542-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER-JOHNSON",
"first_name": "ABBY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "PSY21142",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY21142",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY21142",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "PSY21142",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.