Individual provider Active NPI

Johanna Eva Nilsson

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1932740677
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2682 Issued in KS
Practice address
222 W Gregory Blvd Ste 323
Kansas City, MO 64114-1127
Phone
(816) 868-0801
Fax
(844) 875-0741
NPI assigned
Oct 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2682 KS Primary
Psychologist 103T00000X 2006016148 MO

Addresses

Primary practice location

222 W Gregory Blvd Ste 323
Kansas City, MO 64114-1127

Mailing address

222 W Gregory Blvd
Kansas City, MO 64114-1140
Phone (816) 868-0801

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

State licenses

LicenseStateTypeSpecialty
2682KSMDPsychologist
2006016148MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
KC Developmental Therapies, LLC CurrentSince Nov 24, 2019 Accepting new patients
Brian D Paul LLC Past Accepting new patients

Locations

3795 W 95th St
Overland Park, KS 66206
Phone (913) 286-0422

Organizations & group practices 2

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1932740677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W GREGORY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141140",
            "telephone_number": "816-868-0801",
            "fax_number": "844-875-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W GREGORY BLVD STE 323",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141127",
            "telephone_number": "816-868-0801",
            "fax_number": "844-875-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSSON",
        "first_name": "JOHANNA",
        "middle_name": "EVA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2682",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2006016148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.