Individual provider Active NPI

Linda Johnson, M.ED, ED.S, PEL

  • School Psychologist
  • Villa Park, IL
National Provider Identifier
1306546262
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1838177 Issued in IL
Practice address
1110 S Villa Ave
Villa Park, IL 60181-3326
Phone
(630) 279-8400
NPI assigned
Mar 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1838177 IL Primary

Addresses

Primary practice location

1110 S Villa Ave
Villa Park, IL 60181-3326

Mailing address

1110 S Villa Ave
Villa Park, IL 60181-3326
Phone (630) 279-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1838177ILMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Salt Creek SCH Dist 48 CurrentSince Mar 12, 2023 Accepting new patients

Locations

1110 S Villa Ave
Villa Park, IL 60181
Phone (630) 279-8400

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1306546262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 S VILLA AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813326",
            "telephone_number": "630-279-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S VILLA AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813326",
            "telephone_number": "630-279-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LINDA",
        "credential": "M.ED, ED.S, PEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1838177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.