AXELINE JANICKE MAISONET JOHNSON MD
NPI 1649776899
Psychiatry & Neurology - Psychiatry in Riverside, CA

Active since April 04, 2018PECOS Enrolled
4371 LATHAM ST STE 200, RIVERSIDE, CA 92501(833) 867-4642 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2025, Dec 19, 2025, Nov 17, 2022 and 2 more (5 updates tracked since 2022).

About Axeline Janicke Maisonet Johnson Md NPPES

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

AXELINE JANICKE MAISONET JOHNSON MD (NPI 1649776899) is an individual psychiatry provider in Riverside, California, licensed in California (A179054) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of California, Geffen School Of Medicine (2018).

NPPES Registry Identity

NPI1649776899
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameAXELINE JANICKE MAISONET JOHNSONCredential: MD
Location Address4371 LATHAM ST STE 200Riverside, CA 92501-1731
Mailing Address415 N Camden Drive, Ste 111 #724Beverly Hills, CA 90210 · (833) 867-4642 · Fax (267) 367-5763
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateDecember 29, 20255 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1649776899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in CA · A179054 Licensed in TX · W2736 Licensed in PA · MD470729
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4371 LATHAM ST STE 200, Riverside, CA 92501

Secondary Practice Location 1

Location 1929 Gessner Rd Ste 2600Houston, TX 77024-2593 · Phone (713) 222-2273

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Axeline Janicke Maisonet Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668855495
PECOS Enrollment IDI20251211001731
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 92501 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
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 Axeline Johnson's NPI number?

The NPI number for Axeline Johnson is 1649776899. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Axeline Johnson located?

Axeline Johnson practices at 4371 Latham St Ste 200, Riverside, CA 92501. The listed phone number is (833) 867-4642.

What is Axeline Johnson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Axeline Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Axeline Johnson was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.