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EMILY DIANE JOHNSON
NPI 1073182077
Psychologist - Clinical in Sacramento, CA

Active since June 23, 2021PECOS Enrolled
3671 BUSINESS DR STE 110, SACRAMENTO, CA 95820(501) 658-9672 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2023, Oct 6, 2023, Aug 30, 2022 and 1 more (4 updates tracked since 2021).

About Emily Diane Johnson NPPES

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

EMILY DIANE JOHNSON (NPI 1073182077) is an individual clinical provider in Sacramento, California, licensed in California (34698) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073182077
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameEMILY DIANE JOHNSON
Location Address3671 BUSINESS DR STE 110Sacramento, CA 95820-2233
Mailing Address3574 Nouveau WayRancho Cordova, CA 95670-6990
Phone(501) 658-9672
Sole ProprietorNo
Enumeration DateJune 23, 2021
Last NPPES UpdateNovember 20, 20234 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1073182077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 34698
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3671 BUSINESS DR STE 110, Sacramento, CA 95820
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Other Names 1

Former Name (1)Emily Diane Keener

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Diane 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ASHLEY PELUSO MA, SUDCC
Student in an Organized Health Care Education/Training Program
3671 BUSINESS DR STE 110
SACRAMENTO, CA 95820
Sacramento County (916) 732-8966
KIMBERLY MARIE SMITH
Student in an Organized Health Care Education/Training Program
3671 BUSINESS DR STE 110
SACRAMENTO, CA 95820
Sacramento County (916) 732-8966
RUTH NOHEMI CHUN REYES
Social Worker (Clinical)
3671 BUSINESS DR STE 110
SACRAMENTO, CA 95820
Sacramento County (916) 346-2915
MELISSA LORRAINE NEITLICH
Student in an Organized Health Care Education/Training Program
3671 BUSINESS DR STE 110
SACRAMENTO, CA 95820
Sacramento County (617) 276-5822
DAVID E WEBB JR.
Student in an Organized Health Care Education/Training Program
3671 BUSINESS DR STE 110
SACRAMENTO, CA 95820
Sacramento County (916) 734-4150
ALYSSA KORELL
Student in an Organized Health Care Education/Training Program
3671 BUSINESS DR STE 110
SACRAMENTO, CA 95820
Sacramento County (916) 732-8966
SELYNA MARIE VALDEZ
Adult Companion
3671 BUSINESS DR STE 110
SACRAMENTO, CA 95820
Sacramento County (916) 734-8396
REGINA RUTH BRODELL
Student in an Organized Health Care Education/Training Program
3671 BUSINESS DR STE 110
SACRAMENTO, CA 95820
Sacramento County (916) 732-8966

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 Emily Johnson's NPI number?

The NPI number for Emily Johnson is 1073182077. It was assigned to this individual provider in the NPPES registry on June 23, 2021. The provider is also known as Emily Diane Keener.

Where is Emily Johnson located?

Emily Johnson practices at 3671 Business Dr Ste 110, Sacramento, CA 95820. The listed phone number is (501) 658-9672.

What is Emily Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Emily Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Emily Johnson was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.