DR. SUSANNE JOHNSON (NPI# 1144237488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144237488 |
Entity Type | Individual |
Full Name | DR. SUSANNE JOHNSON |
Credential | PHD |
Practice Address |
728 Ogden Ave Ste E Downers Grove IL 60515-2901 |
Practice Telephone | 6306402980 |
Mailing Telephone | 6306402980 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2016-05-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071006253 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MAGELLAN BEHAVIORAL HEALT | IP558185 | 01 | |
IL | BLUECROSSBLUESHIELD | 2227588 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528441706 | Susanne Marie Johnson | Nurse Practitioner | 525 Clinton Street, Camden, NJ 08103 | 2015-07-07 |
1023365384 | Susanne K Johnson | Specialist/Technologist | 1756 Bee Creek Rd, Special Services -- Claim Care, Branson, MO 65616-9395 | 2012-08-06 |
1205069770 | Susanne P Johnson | Nurse Practitioner | 22 Bozard St, Manning, SC 29102-2935 | 2009-08-31 |
1518137546 | Susanne Judith Johnson | Social Worker | 777 N Raymond St, Boise, ID 83704-9251 | 2008-03-05 |
1457479578 | Susanne Catherine Johnson | Counselor | 11 Sundial Circle, Suite #4, Carefree, AZ 85377 | 2007-03-27 |
1790864379 | Susanne Jane Johnson | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2006-11-03 |
1376503623 | Susanne T Johnson | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2006-03-23 |
1629052873 | Susanne S Johnson | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2005-12-01 |
Street Address |
728 OGDEN AVE STE E |
City | DOWNERS GROVE |
State | IL |
Zip Code | 60515-2901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548706005 | Jennifer Logston Counseling Ltd | Social Worker | 728 Ogden Ave, Suite E, Downers Grove, IL 60515-3137 | 2017-01-09 |
1679952386 | Kelly Meeneghan | Counselor | 728 Ogden Ave, Suite E, Downers Grove, IL 60515-3137 | 2015-05-27 |
1861781080 | Spomenka M. Luedi | Dentist | 728 Ogden Ave, Downers Grove, IL 60515-2901 | 2011-03-29 |
1841304094 | Jennifer Keely Logston | Social Worker | 728 Ogden Ave, Suite E, Downers Grove, IL 60515-3137 | 2006-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
Find all providers in zip 60515 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154602167 | Jennifer Benish | Psychologist | 5201 Washington St, Suite 2, Downers Grove, IL 60515-4785 | 2011-09-03 |
1487944948 | Katharine A. Hinkle | Psychologist | 1823 Breasted Ave, Downers Grove, IL 60516-2441 | 2011-04-18 |
1952588485 | Billie S. Strauss | Psychologist | 4534 Oakwood Ave, Downers Grove, IL 60515-2710 | 2008-01-28 |
1881718948 | Dale W Faber | Psychologist | 1035 Grove St, Downers Grove, IL 60515-4636 | 2007-03-16 |
1629107776 | Mary Cesare | Psychologist | 1123 Gilbert Ave, Downers Grove, IL 60515-4533 | 2007-03-05 |
1841347408 | Charles A Warren | Psychologist | 1007 Curtiss St, Suite 6, Downers Grove, IL 60515-4767 | 2007-01-05 |
1053496075 | Marc A Schneider, Psy D | Psychologist | 1160 Parker Ave, Downers Grove, IL 60516-3415 | 2006-10-26 |
1568545549 | Kirk P Alley | Psychologist | 1001 Ogden Avenue, Suite 204, Downers Grove, IL 60515 | 2006-10-23 |
1982718151 | Janell R. Hart | Psychologist | 5500 Carpenter St, Downers Grove, IL 60516-1357 | 2006-08-17 |
1649743055 | Soyoung Suh | Psychologist | 4923 Main St, Downers Grove, IL 60515-3654 | 2019-01-08 |
Find all providers in DOWNERS GROVE |
City | DOWNERS GROVE |
Zip Code | 60515 |
Please comment or provide details below to improve the information on DR. SUSANNE JOHNSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.