Sandra D. John, PMHCNS- BC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

15368 Issued in CA

Practice address

850 Palmetto Ave
Chico, CA 95926-4027

Phone

(530) 965-2603

Fax

(530) 343-3449

NPI assigned

Feb 16, 2008

Last updated

Jul 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 4, 2024 through Jan 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1932377553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 HALF DOME WAY",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288445",
            "telephone_number": "530-809-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PALMETTO AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959264027",
            "telephone_number": "530-965-2603",
            "fax_number": "530-343-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SANDRA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "PMHCNS- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-16",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "15368",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "261370",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "3107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony C Jewett, DDS
• Ramandip Kaur Jhajj
• Jin R Soofi MD PC
• Randel Edward Johanson, R.D.O.
• John K Lam MD PC
• Terri Lee Johnson-Stemen
• Amanda Jolin Johnson
• Amber Johnson, PPS SCHOOL PSYCHOLOG
• Barry K Johnson, MD
• Christina Leeann Johnson

• Marriage & Family Therapist in Chico, CA
• Providers in Chico, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.