DR. KELLY SUZANNE JOHNSON PSY.D. NPI 1033254164

NPI Information

  • NPI: 1033254164
  • Provider Name: DR. KELLY SUZANNE JOHNSON, PSY.D.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 28379 DAVIS PKWY
    SUITE 801 CANTERA LAKES OFFICES-CLARUS CENTER
    WARRENVILLE, IL
    ZIP 60555
  • Phone: (630) 355-3321

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NPI Details

DR. Kelly Suzanne Johnson, PSY.D. is a clinical neuropsychologist in Warrenville, IL. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Kelly Suzanne Johnson, PSY.D. NPI is 1033254164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28379 DAVIS PKWY
SUITE 801 CANTERA LAKES OFFICES-CLARUS CENTER
WARRENVILLE, IL
ZIP 60555-032
Phone: (630) 355-3321
Fax: (630) 393-0499

The NPI 1033254164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical Neuropsychologist071-005691ILLINOISYes
2103T00000XPsychologist071-005691ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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