DR. DERRICK JAMES JOHNSON PSY.D NPI 1497896674

NPI Information

  • NPI: 1497896674
  • Provider Name: DR. DERRICK JAMES JOHNSON, PSY.D
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1022 MADISON
    OAK PARK, IL
    ZIP 60302
  • Phone: (708) 802-1303

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NPI Details

DR. Derrick James Johnson, PSY.D is a professional counselor in Oak Park, IL. DR. Derrick James Johnson, PSY.D NPI is 1497896674. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1022 MADISON
OAK PARK, IL
ZIP 60302
Phone: (708) 802-1303
Fax: (708) 386-8602

The enumeration date for this NPI number is 2/9/2007 and was last updated on 11/22/2016.

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
1103TC0700XPsychologistClinical180004135ILLINOISNo
2101YP2500XCounselorProfessional180004135ILLINOISYes

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: 3/30/2025

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