DR. JEANINE JOHNSON PSYD
NPI 1790187094
Psychologist in San Diego, CA
About Dr. Jeanine Johnson Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEANINE JOHNSON PSYD (NPI 1790187094) is an individual psychologist in San Diego, California, licensed in California (29523) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeanine Johnson Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeanine Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92122
- Reassigned Medicare billing, California enrollment
- 245 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92122
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 Jeanine Johnson's NPI number?
The NPI number for Jeanine Johnson is 1790187094. It was assigned to this individual provider in the NPPES registry on September 18, 2014.
Where is Jeanine Johnson located?
Jeanine Johnson practices at 5060 Shoreham Pl, San Diego, CA 92122. The listed phone number is (877) 840-6956.
What is Jeanine Johnson's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jeanine Johnson enrolled in Medicare?
Yes. Jeanine Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeanine Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanine Johnson reassigns Medicare benefits to Sokyahealth Medical Group PC (San Diego, 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 Jeanine 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 Jeanine Johnson was last updated on November 3, 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.