Steven P Johnson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071-005462 Issued in IL

Practice address

3405 N Kennicott Ave
Suite B
Arlington Heights, IL 60004-1470

Phone

(847) 508-2926

Fax

(847) 368-0764

NPI assigned

Jul 19, 2005

Last updated

Dec 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Steven P. Johnson, PHD, LLC

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1760762389
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1194724393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 N KENNICOTT AVE",
            "address_2": "SUITE B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041470",
            "telephone_number": "847-508-2926",
            "fax_number": "847-368-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 N KENNICOTT AVE",
            "address_2": "SUITE B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041470",
            "telephone_number": "847-508-2926",
            "fax_number": "847-368-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEVEN",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-005462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget R Johnson, APN-CNP
• Brooke T Johnson, D.O.
• Kenneth Arthur Johnson, D.D.S.
• Rachael Lynette Johnson
• Sherrill Johnson, RD
• Susan K Johnson, A.P.N.
• Tiarra Johnson
• Joint, Spine & Pain Interventional LLC
• Judith Ildiko Jokay
• Daniel Jonas, M.D.

• Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.