Eden Enriquez Johnson, MD

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

A18019 Issued in KS

Practice address

198 S Skill Center Rd
Sacaton, AZ 85247

Phone

(888) 431-4096

Fax

(520) 562-3415

NPI assigned

Apr 11, 2006

Last updated

Sep 11, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1942263769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 LYNN COURT DRIVE",
            "address_2": "SUITE 305, C/O ROBERT DESKINS, CPA",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64055",
            "telephone_number": "928-606-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 S SKILL CENTER RD",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "85247",
            "telephone_number": "888-431-4096",
            "fax_number": "520-562-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EDEN",
        "middle_name": "ENRIQUEZ",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "A18019",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "KS",
            "license": "A18019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Jackson, PT
• Eva Jenner, DDS
• Doina Roxana Jianu, MD
• Jeanette Day Jicha, FNP-BC
• Aspen Johnson, DPT
• Darcy Jones, O.D.
• Jeffrey Jones, PHARM.D.
• Laura Lee Jones, LCSW
• Heather Marie Joseph, REGISTERED DIETITIAN
• James Justice, DPT

• Addiction Psychiatry Physician in Sacaton, AZ
• Providers in Sacaton, AZ by specialty
• Addiction Psychiatry Physician in Arizona

• 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.

Verify at the official NPI Registry.