DR. JOHNATHON NEDA
NPI 1225661689
Psychologist - Clinical in Costa Mesa, CA

Active since February 13, 2020Opted out of Medicare · through Feb 16, 2028
795 WINDWARD WAY, COSTA MESA, CA 92627(949) 446-1525 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Johnathon Neda NPPES

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

DR. JOHNATHON NEDA (NPI 1225661689) is an individual clinical provider in Costa Mesa, California, licensed in California (PSY31298) and active in the NPI registry since February 2020. He has opted out of Medicare through February 16, 2028.

NPPES Registry Identity

NPI1225661689
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOHNATHON NEDA
Location Address795 WINDWARD WAYCosta Mesa, CA 92627-4352
Mailing Address795 Windward WayCosta Mesa, CA 92627-4352 · (586) 596-1855
Sole ProprietorYes
Enumeration DateFebruary 13, 2020
NPI 1225661689 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 · PSY31298
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.
795 WINDWARD WAY, Costa Mesa, CA 92627

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Johnathon Neda has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 16, 2026 through February 16, 2028.

Opt-Out Effective DateFebruary 16, 2026
Opt-Out In Effect ThroughFebruary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Johnathon Neda's NPI number?

The NPI number for Johnathon Neda is 1225661689. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Where is Johnathon Neda located?

Johnathon Neda practices at 795 Windward Way, Costa Mesa, CA 92627. The listed phone number is (949) 446-1525.

What is Johnathon Neda's specialty?

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

Is Johnathon Neda enrolled in Medicare?

No. Johnathon Neda has opted out of Medicare through February 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Johnathon Neda was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.