Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sophia Alexandra Johnson, PHD

Individual provider Clinical Psychologist · NPI 1538404165

Dr. Sophia Alexandra Johnson, PHD is a Clinical Psychologist in Reno, Nevada. Qualified in 1987, 39 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
39
Licensed in
CA, NV
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2664 Starr Meadows Loop
Reno, NV 89519-7356
Phone: (925) 998-0780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0804 (NV)
Clinical Psychologist Taxonomy 103TC0700X · Licence 22563 (CA)

Record details

NPI number1538404165
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 7, 2012
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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