JENNA GABRIELLE JOHNSON (PSY D) – Clinical Psychologist, NPI 1710969191

Clinical Psychologist

JENNA GABRIELLE JOHNSON (PSY D) is a healthcare provider. based in Sonora, California. specializing in Clinical Psychologist. They hold the professional credentials PSY D. They hold a License No. PSY18496 (CA). The NPI Number for JENNA GABRIELLE JOHNSON (PSY D) is 1710969191

Main info

Female

Sole Proprietor

26 Years Of Experience

Accepts Medicare Assignment

Name

JENNA GABRIELLE JOHNSON (PSY D)

NPI

1710969191

Phone

(209) 536-5144

Address

193 FAIRVIEW LN STE K

Enumeration Date

19 November 2005

Last Update Date

4 December 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2095365100

Graduation Year

2000 (26 years ago)

PAC ID

7618059940

Group Practice PAC ID

4284538505

Professional Enrollment ID

I20080125000376

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience69

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JENNA GABRIELLE JOHNSON (PSY D)

193, Fairview Lane, Sonora, Tuolumne County, California, 95370, United States
SONORA, CA 953704828
Phone: (209) 536-5144
Fax: (209) 536-5737
Type: Mailing
230 S SHEPHERD ST STE D
SONORA, CA 953705076
Phone: (209) 432-3616
Type: Location
51 Wellness Way
Valley Springs, CA 952529736
Phone: (209) 772-7070
Fax: (209) 772-1011
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95370)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4284538505View full group profile

Name	Specialty	State
SANDRA JEAN SHETZLINE (DO)	Family Practice	CA
ANDREAS WOLF (MD)	Interventional Cardiology, Cardiovascular Disease (Cardiology)	CA
PEGGY C. KALKOUNOS (DO)	-	FL
VIBEKE B GREEN (NP)	Nurse Practitioner	VA
DR. LINCOLN J MAYNES (MD)	U R O L O G Y	CA
DR. STEVE CHRISTIAN JENSEN (DPM)	-	CA
JAMES LEONARD COMAZZI (M.D.)	-	CA
DR. LAWRENCE EUGENE BRUNEL (M.D. F.A.C.O.G.)	-	CA
MRS. LISA JEWELL ANDREWS (NP)	Nurse Practitioner	CA
JULIA A GUSTAFSON (NP)	-	CA

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Frequently asked questions

Does JENNA GABRIELLE JOHNSON (PSY D) have a public NPI I can cite?

Public records show JENNA GABRIELLE JOHNSON (PSY D) under NPI 1710969191.

Is JENNA GABRIELLE JOHNSON (PSY D) currently accepting referrals based on NPI status?

Registry metadata lists JENNA GABRIELLE JOHNSON (PSY D) as active.

What services align with JENNA GABRIELLE JOHNSON (PSY D)'s listing?

JENNA GABRIELLE JOHNSON (PSY D)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.

Is JENNA GABRIELLE JOHNSON (PSY D) tied to Sonora, California?

If you are local to Sonora, California, JENNA GABRIELLE JOHNSON (PSY D) may be relevant to your search.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.