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DR. SOPHIA ALEXANDRA JOHNSON PHD
NPI 1538404165
Psychologist - Clinical in Reno, NV

Active since December 07, 2012PECOS EnrolledAccepts Medicare Assignment
2664 STARR MEADOWS LOOP, RENO, NV 89519(925) 998-0780 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2021, Apr 21, 2017, Jan 19, 2017 (3 updates tracked since 2017).

About Dr. Sophia Alexandra Johnson Phd NPPES

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

DR. SOPHIA ALEXANDRA JOHNSON PHD (NPI 1538404165) is an individual clinical provider in Reno, Nevada, licensed in Nevada (0804) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1538404165
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SOPHIA ALEXANDRA JOHNSONCredential: PHD
Location Address2664 STARR MEADOWS LOOPReno, NV 89519-7356
Mailing Address2664 Starr Meadows LoopReno, NV 89519-7356 · (925) 998-0780
Phone(925) 998-0780
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 7, 2012
Last NPPES UpdateOctober 8, 20213 updates tracked since enumeration
NPPES CertifiedOctober 8, 2021
✔ NPI 1538404165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in NV · 0804✔ Licensed in CA · 22563
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.
2664 STARR MEADOWS LOOP, Reno, NV 89519
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sophia Alexandra Johnson Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668756305
PECOS Enrollment IDI20250912002862
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 Sophia Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
185 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89519 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
$173.24 typical visit price
range $57.07 – $173.24
Typical copayment $43.31 (range $14.26 – $43.31)
Most-billed visit code 99205
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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 Sophia Johnson's NPI number?

The NPI number for Sophia Johnson is 1538404165. It was assigned to this individual provider in the NPPES registry on December 7, 2012.

Where is Sophia Johnson located?

Sophia Johnson practices at 2664 Starr Meadows Loop, Reno, NV 89519. The listed phone number is (925) 998-0780.

What is Sophia Johnson's specialty?

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

Is Sophia Johnson enrolled in Medicare?

Yes. Sophia Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sophia Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Johnson reassigns Medicare benefits to Sud Specialty Group - Ca (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 Sophia 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 Sophia Johnson was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.