Individual provider

Mark Johnson, PHD

Clinical Psychologist Medicare enrolled

Mark Johnson, PHD is a Clinical Psychologist in Capitola, CA, registered under NPI 1386904688. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4400 CAPITOLA RD STE 200, Capitola, CA 95010. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4400 CAPITOLA RD STE 200, Capitola, CA 95010 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PSY27266 CA Clinical Psychologist primary

This provider holds licence PSY27266 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
3072754647

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

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. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1386904688 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 21, 2012
Last updatedJul 27, 2016
StatusActive
Sole proprietorYes
CredentialPHD
Practice address 4400 CAPITOLA RD STE 200
Capitola, CA 95010
(931) 426-9302
Fax (408) 378-4510
Mailing address 15047 LOS GATOS BLVD STE 200
Los Gatos, CA 95032
Other identifiers PSY27266 · BOARD OF PSYCHOLOGY LICENSE (CA)
This record was last updated on Jul 27, 2016, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1386904688 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 8 6 9 0 4 6 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 7 6 9 0 8 6 7

Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1386904688?
NPI 1386904688 is the National Provider Identifier assigned to Mark Johnson, PHD in Capitola, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
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 --…
How do I contact Mark Johnson, PHD?
The phone number on file with NPPES is (931) 426-9302, last updated Jul 27, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Mark Johnson, PHD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1386904688 a valid number?
Yes. 1386904688 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.