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AMANDA JOHNSON
NPI 1023556255
Community Based Residential Treatment Facility, Mental Illness in Redwood City, CA

Active since February 08, 2017PECOS Enrolled
1442 VALOTA RD, REDWOOD CITY, CA 94061(650) 863-7825 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA JOHNSON (NPI 1023556255) is an individual community based residential treatment facility, mental illness provider in Redwood City, California and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023556255
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameAMANDA JOHNSON
Location Address1442 VALOTA RDRedwood City, CA 94061-2620
Mailing Address1442 Valota RdRedwood City, CA 94061-2620
Phone(650) 863-7825
Sole ProprietorYes
Enumeration DateFebruary 8, 2017
✔ NPI 1023556255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1442 VALOTA RD, Redwood City, CA 94061
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Johnson's NPI number?

The NPI number for Amanda Johnson is 1023556255. It was assigned to this individual provider in the NPPES registry on February 8, 2017.

Where is Amanda Johnson located?

Amanda Johnson practices at 1442 Valota Rd, Redwood City, CA 94061. The listed phone number is (650) 863-7825.

What is Amanda Johnson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Is Amanda Johnson enrolled in Medicare?

Yes. Amanda Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Johnson was last updated on February 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.