Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeanine Johnson, PSYD

Individual provider Psychologist · NPI 1790187094

Dr. Jeanine Johnson, PSYD is a Clinical Psychologist in San Diego, California. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2014
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5060 Shoreham Pl
San Diego, CA 92122-5903
Phone: (877) 840-6956
Fax: (619) 383-6701
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 29523 (CA)

Record details

NPI number1790187094
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 18, 2014
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

Other providers in San Diego