Active NPI
Crystal Johnson, Psy.D, LLC
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1023500436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.009543
- Legal business name
- CRYSTAL JOHNSON, PSY.D, LLC
- Practice address
- 939 W North Ave Ste 750
Chicago, IL 60642-7142 - Phone
- (773) 844-2732
- NPI assigned
- May 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Crystal Johnson, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (773) 844-2732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.009543 | IL | Primary |
Addresses
Primary practice location
939 W North Ave Ste 750
Chicago, IL 60642-7142
Mailing address
939 W North Ave Ste 750
Chicago, IL 60642-7142
Phone (773) 844-2732
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527724800000",
"number": "1023500436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 W NORTH AVE STE 750",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606427142",
"telephone_number": "773-844-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 W NORTH AVE STE 750",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606427142",
"telephone_number": "773-844-2732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL JOHNSON, PSY.D, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-31",
"last_updated": "2018-05-31",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "773-844-2732",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.