Cary A Johannes, PSYD
Individual provider Active NPI Psychologist · Kiel, WI
NPI 1699669259 · NPPES record last updated Jun 6, 2025
Key facts
- NPI
- 1699669259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2406-57 (WI)
- Practice address
- 15664 Lax Chapel Rd
Kiel, WI 53042-3335 - Phone
- (920) 980-8319
- NPI assigned
- Jun 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2406-57 | WI | MD | Psychologist |
Interoperability endpoints
- cary.johannes.1@14940.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2406-57 | WI | Yes |
Addresses
Primary practice location
15664 Lax Chapel Rd
Kiel, WI 53042-3335
Mailing address
15664 Lax Chapel Rd
Kiel, WI 53042-3335
Phone (920) 980-8319
Other names
- Cary Knier
Other providers in Kiel, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.