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MR. MARK L JOHNSON PHD
NPI 1386904688
Psychologist - Clinical in Capitola, CA

Active since May 21, 2012PECOS Enrolled
4400 CAPITOLA RD STE 200, CAPITOLA, CA 95010(931) 426-9302(408) 378-4510 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark L Johnson Phd NPPES

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

MR. MARK L JOHNSON PHD (NPI 1386904688) is an individual clinical provider in Capitola, California, licensed in California (PSY27266) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386904688
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. MARK L JOHNSONCredential: PHD
Location Address4400 CAPITOLA RD STE 200Capitola, CA 95010-3571
Mailing Address15047 Los Gatos Blvd Ste 200Los Gatos, CA 95032-2054 · (408) 364-6799 · Fax (408) 378-4510
Phone(931) 426-9302
Fax(408) 378-4510
Sole ProprietorYes
Enumeration DateMay 21, 2012
Last NPPES UpdateJuly 27, 2016
✔ NPI 1386904688 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 · PSY27266
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.
4400 CAPITOLA RD STE 200, Capitola, CA 95010
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Other Identifiers 1

OtherPSY27266CA · Board Of Psychology License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mark L Johnson Phd 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 95010 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
$186.69 typical visit price
range $62.97 – $186.69
Typical copayment $46.67 (range $15.74 – $46.67)
Most-billed visit code 99205
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
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 6

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

KAYLEIGH KIM MURPHY FNP
Nurse Practitioner (Family)
4400 CAPITOLA RD STE 200
CAPITOLA, CA 95010
Santa Cruz County (831) 426-9302
DR. LINDA L WOLBERS MD
Pain Medicine (Pain Medicine)
4400 CAPITOLA RD STE 200
CAPITOLA, CA 95010
Santa Cruz County (831) 426-9302
MICHELLE MARIE ZENDA MPT
Physical Therapist
4400 CAPITOLA RD STE 200
CAPITOLA, CA 95010
Santa Cruz County (831) 426-9302
ABIE SANDY NP
Nurse Practitioner (Family)
4400 CAPITOLA RD STE 200
CAPITOLA, CA 95010
Santa Cruz County (831) 426-9302
DR. BENJAMIN CORSBIE PSY.D.
Psychologist (Clinical)
4400 CAPITOLA RD STE 200
CAPITOLA, CA 95010
Santa Cruz County (831) 426-9302
EMILY ANN REDE COFFEE LMFT, AT
Marriage & Family Therapist
4400 CAPITOLA RD STE 200
CAPITOLA, CA 95010
Santa Cruz County (831) 426-9302

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 Mark Johnson's NPI number?

The NPI number for Mark Johnson is 1386904688. It was assigned to this individual provider in the NPPES registry on May 21, 2012.

Where is Mark Johnson located?

Mark Johnson practices at 4400 Capitola Rd Ste 200, Capitola, CA 95010. The listed phone number is (931) 426-9302.

What is Mark Johnson's specialty?

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

Is Mark Johnson enrolled in Medicare?

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

What insurance does Mark Johnson accept?

Health plans from Providence Health Plan list Mark Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Johnson was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.