DR. KRISTINA GRACE JOHNSON PH.D.
NPI 1053475095
Psychologist in San Jose, CA

Active since December 21, 2006PECOS Enrolled
5755 COTTLE RD, BUILDING 4, SAN JOSE, CA 95123(408) 972-3095 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kristina Grace Johnson Ph.d. NPPES

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

DR. KRISTINA GRACE JOHNSON PH.D. (NPI 1053475095) is an individual psychologist in San Jose, California, licensed in California (PSY 18871) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053475095
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KRISTINA GRACE JOHNSONCredential: PH.D.
Location Address5755 COTTLE RD, BUILDING 4San Jose, CA 95123-3640
Mailing Address5755 Cottle Rd, Building 4San Jose, CA 95123-3640
Sole ProprietorNo
Enumeration DateDecember 21, 2006
Last NPPES UpdateJanuary 11, 2022
✔ NPI 1053475095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · PSY 18871
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5755 COTTLE RD, San Jose, CA 95123

Other Names 1

Other Name (5)Dr. Kristina Grace Quarneri-johnson Ph.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristina Grace Johnson Ph.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Kristina Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Medical Genetics (Clinical Cytogenetics)
5755 COTTLE RD, BUILDING 2 GENETICS
SAN JOSE, CA 95123
Marriage & Family Therapist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Counselor (Mental Health)
5755 COTTLE RD
SAN JOSE, CA 95123
Social Worker (Clinical)
5755 COTTLE RD
SAN JOSE, CA 95123
Psychologist (Clinical)
5755 COTTLE RD
SAN JOSE, CA 95123
Genetic Counselor, MS
5755 COTTLE RD, BUILDING 1
SAN JOSE, CA 95123
Genetic Counselor, MS
5755 COTTLE RD, BLDG #1
SAN JOSE, CA 95123

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 Kristina Johnson's NPI number?

The NPI number for Kristina Johnson is 1053475095. It was assigned to this individual provider in the NPPES registry on December 21, 2006. The provider is also known as Dr. Kristina Grace Quarneri-Johnson Ph.D..

Where is Kristina Johnson located?

Kristina Johnson practices at 5755 Cottle Rd Building 4, San Jose, CA 95123. The listed phone number is (408) 972-3095.

What is Kristina Johnson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kristina Johnson enrolled in Medicare?

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

Which organization bills Medicare for Kristina Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Johnson reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristina Johnson was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.