Linda Susan Jovanovic, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 14437 Issued in CA

Practice address

825 Zion St
Nevada City, CA 95959-2922

Phone

(209) 484-0710

NPI assigned

May 29, 2007

Reactivated

Oct 26, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Linda Jovanovic LLC

  • Clinical Psychologist
  • Grass Valley, CA
  • NPI 1811587355
  NPD (past) Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1821299744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CORNWALL AVE",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457117",
            "telephone_number": "209-484-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 ZION ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592922",
            "telephone_number": "209-484-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVANOVIC",
        "first_name": "LINDA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "deactivation_date": "2019-03-27",
        "reactivation_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 14437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Guyot Johnson
• Jeffery Allan Johnson, CADC-CAS
• Joyce Johnson, RDHAP
• Yashi Amita Johnson, MFC20553
• Kendra Jones
• Megan Kane
• Natasha Kane, DPT
• Samantha Karpus
• Michelle Katz, MA
• Judith Mary Kautz

• Psychologist in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.