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

Mr. Mark L Johnson, PHD

Individual provider Clinical Psychologist · NPI 1386904688

Mr. Mark L Johnson, PHD is a Clinical Psychologist in Capitola, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
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

4400 Capitola Rd Ste 200
Capitola, CA 95010-3571
Phone: (931) 426-9302
Fax: (408) 378-4510
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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 PSY27266 (CA)

Record details

NPI number1386904688
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 21, 2012
Last updated in NPPESJuly 27, 2016

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