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DR. MELISSA JEAN JOHNSON PH.D.
NPI 1699979906
Psychologist - Clinical Child & Adolescent in Pasadena, CA

Active since June 12, 2007Opted out of Medicare · through Jul 1, 2027
95 N MARENGO AVE, SUITE 205, PASADENA, CA 91101(626) 585-8075(626) 585-0440 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Melissa Jean Johnson Ph.d. NPPES

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

DR. MELISSA JEAN JOHNSON PH.D. (NPI 1699979906) is an individual clinical child & adolescent provider in Pasadena, California, licensed in California (PSY13102) and active in the NPI registry since June 2007. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1699979906
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. MELISSA JEAN JOHNSONCredential: PH.D.
Location Address95 N MARENGO AVE, SUITE 205Pasadena, CA 91101-1764
Mailing Address95 N Marengo Ave, Suite 205Pasadena, CA 91101-1764 · (626) 585-8075 · Fax (626) 585-0440
Phone(626) 585-8075
Fax(626) 585-0440
Sole ProprietorNo
Enumeration DateJune 12, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1699979906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · PSY13102
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY13102 (CA)

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. Melissa Jean Johnson Ph.d. 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 July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 18

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

STEPHANY TRITT PT
Physical Therapist
95 N MARENGO AVE
PASADENA, CA 91101
Los Angeles County (626) 776-0075
DR. DEBORAH K BUCKWALTER PH.D.
Psychologist (Clinical)
95 N MARENGO AVE, SUITE 200
PASADENA, CA 91101
Los Angeles County (626) 644-1454
MISS ANNA MARIE ROSSI M.A./MFT
Marriage & Family Therapist
95 N MARENGO AVE, SUITE 100
PASADENA, CA 91101
Los Angeles County (626) 585-8075
FOOTHILL PHYSICAL THERAPY PC
Physical Therapist (Orthopedic)
95 N MARENGO AVE
PASADENA, CA 91101
Los Angeles County (626) 776-0075
SONIA NIKORE
Marriage & Family Therapist
95 N MARENGO AVE, SUITE 100
PASADENA, CA 91101
Los Angeles County (626) 585-8075
DR. ASHLEE SCOTT REID PHD
Psychologist
95 N MARENGO AVE
PASADENA, CA 91101
Los Angeles County (626) 585-8075
MR. DOUGLAS CRAIG THOMAS LCSW
Social Worker (Clinical)
95 N MARENGO AVE, SUITE 200
PASADENA, CA 91101
Los Angeles County (626) 524-2406
DR. DANIELLE NEDDO PSY.D.
Psychologist
95 N MARENGO AVE, SUITE 100
PASADENA, CA 91101
Los Angeles County (626) 585-8075

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 Melissa Johnson's NPI number?

The NPI number for Melissa Johnson is 1699979906. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Melissa Johnson located?

Melissa Johnson practices at 95 N Marengo Ave Suite 205, Pasadena, CA 91101. The listed phone number is (626) 585-8075.

What is Melissa Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Melissa Johnson enrolled in Medicare?

No. Melissa Johnson has opted out of Medicare through July 1, 2027. 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 Melissa Johnson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.