RANDEE JOHNSON


Address: 900 Dean Ave, Highland Park, IL 60035-4720
Phone: 8474324140

RANDEE JOHNSON (NPI# 1245377969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245377969
Entity Type Individual
Full Name RANDEE JOHNSON
Credential PH.D.
Practice Address 900 Dean Ave
Highland Park
IL 60035-4720
Practice Telephone 8474324140
Mailing Telephone 8474324140
Enumeration Date 2007-01-31
Last Update Date 2011-03-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist 071-002945 IL Behavioral Health & Social Service Providers
N 103TA0700X Psychologist
Specialization: Adult Development & Aging
071-002945 IL Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
071-002945 IL Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
071-002945 IL Behavioral Health & Social Service Providers
N 103TF0000X Psychologist
Specialization: Family
071-002945 IL Behavioral Health & Social Service Providers

Office Location

Street Address 900 DEAN AVE
City HIGHLAND PARK
State IL
Zip Code 60035-4720

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140006 Julian Jay Freeman Internal Medicine 1954 1st St., Suite 263, Highland Park, IL 60035 2019-05-22
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1750838280 Megan Hyatt Physical Therapist Central Parkway, Store #210, Highland Park, IL 60035 2016-09-01
1962865907 Timothy C Dennis Counselor 1724 1st St., Nicasa, Highland Park, IL 60035 2016-03-29
1821458027 Sarah Marie Pinger Counselor 1724 1st Street, Highland Park, IL 60035 2016-03-01
1508262775 Jennifer Francis Gilbert Social Worker 1067 Centerfield Court, Highland Park, IL 60035 2014-11-14
1588070148 Hpoms Clinic/Center 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 2014-07-03
1477974152 Mtca Psychological Services of Illinois P.C. Psychologist 1651 Richfield Avenue, Highland Park, IL 60035 2013-12-23
1760819510 Linda Beth Greco Social Worker 274 Linden Park Place, Highland Park, IL 60035 2013-10-10
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770118176 Astrid Edith Hesse Psychologist 580 Roger Williams Ave Ste 21, Highland Park, IL 60035-4820 2020-03-05
1356827984 Bonnie Gordic Psychologist 24 N 3rd Ave Ste 111c, Highland Park, NJ 08904-2429 2018-07-17
1932652559 Beth Fishman Psychologist 1989 Richfield Ave, Highland Park, IL 60035-2909 2016-08-01
1235434622 Marcia S. Nickow Psychologist 364 Roger Williams Ave, Highland Park, IL 60035-4751 2011-01-17
1841514189 Madine R Desantis Psychologist 307 Raritan Avenue, Highland Park, NJ 08904 2010-03-15
1215250444 Astrid Hesse Psychologist 580 Roger Williams Ave Ste 22, Highland Park, IL 60035-4820 2010-03-02
1851624118 Roberta Maller Hartman Psychologist 315 Briar Ln, Highland Park, IL 60035-4309 2009-09-17
1740457993 Craig Matthew Callan Psychologist 10 N 2nd Ave, Highland Park, NJ 08904-2419 2008-05-15
1003019316 Jacqueline S. Gilbert Psychologist 324 Raritan Ave Ste 117, Highland Park, NJ 08904-2758 2007-06-06
1720203359 Karen Riggs Skean Psychologist 12 N 4th Ave, Highland Park, NJ 08904-2736 2007-04-17
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Competitor

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City HIGHLAND PARK
Zip Code 60035

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Dataset Information

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.

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