CRYSTAL ROSE JOHNSON (NPI# 1659870798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659870798 |
| Entity Type | Individual |
| Full Name | CRYSTAL ROSE JOHNSON |
| Credential | PSY.D. |
| Practice Address |
715 Lake St Oak Park IL 60301-1422 |
| Mailing Address |
845 W Belmont Ave Apt 4 Chicago IL 60657-4462 |
| Practice Telephone | 7082098987 |
| Practice Fax Number | 7084345586 |
| Mailing Telephone | 7738442732 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.009543 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823461 | Crystal Johnson | Prosthetic/Orthotic Supplier | 812 S Flower St Apt 4, Inglewood, CA 90301-7913 | 2020-08-25 |
| 1548871940 | Crystal Johnson | Social Worker | 43 Whitman St # 2, Somerville, MA 02144-1615 | 2020-08-11 |
| 1003436429 | Crystal K Johnson | In Home Supportive Care | 894 E 223rd St, Euclid, OH 44123-3302 | 2020-04-26 |
| 1982121588 | Crystal Johnson | Behavioral Analyst | 20145 Serrano Rd, Apple Valley, CA 92307-2608 | 2017-08-24 |
| 1033662465 | Crystal Johnson | Technician, Other | 2178 Trafalger St, East Lansing, MI 48823-1329 | 2016-08-02 |
| 1043682420 | Crystal Johnson | Counselor | 1303 Commerce Dr, Peachtree City, GA 30269-3566 | 2015-10-26 |
| 1942571153 | Crystal Duane Johnson | Counselor | 401 E Front Street, Suite 139, Tyler, TX 75701-1608 | 2012-01-19 |
| 1932412673 | Crystal Aurice Johnson | Dentist | 5780 Ch James Parkway, Suite 280, Powder Springs, GA 30127-0000 | 2010-07-23 |
| 1326209271 | Crystal Johnson | Speech-Language Pathologist | 10603 Flatlands Ave, Brooklyn, NY 11236-2922 | 2008-06-23 |
| 1912110685 | Crystal L. Johnson | Dentist | 1412 Barnwell St, Columbia, SC 29201-3512 | 2007-05-08 |
| Street Address |
715 LAKE ST |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568427888 | Stephen Schlesinger | Psychologist | 715 Lake St, Suite 806, Oak Park, IL 60301-1422 | 2006-04-19 |
| 1326686171 | Sofia Ana Rowan-martin | Counselor | 715 Lake St, Oak Park, IL 60301-1422 | 2019-12-11 |
| 1699317297 | Erica Patricia Negrete | Social Worker | 715 Lake St, Oak Park, IL 60301-1422 | 2019-10-15 |
| 1073163465 | Dialyze Direct Il LLC | Clinic/Center | 715 Lake St, Oak Park, IL 60301-1422 | 2019-09-17 |
| 1295389955 | Alison Possehl | Social Worker | 715 Lake St, Oak Park, IL 60301-1422 | 2019-07-30 |
| 1952881831 | Karen Escobar | Social Worker | 715 Lake St, Oak Park, IL 60301-1422 | 2018-08-20 |
| 1871049635 | Tara Dethmers | Advanced Practice Midwife | 715 Lake St, #273, Oak Park, IL 60301-1422 | 2016-08-31 |
| 1902359938 | Vince Murphy & Associates, P.C. | Social Worker | 715 Lake St, Suite 510, Oak Park, IL 60301-1422 | 2016-07-26 |
| 1356799514 | Tara Beyer | Counselor | 715 Lake St, Suite 800, Oak Park, IL 60301-1422 | 2016-05-28 |
| 1346610706 | Danielle Principato | Psychologist | 715 Lake St, Ste 716, Oak Park, IL 60301-1422 | 2015-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710511514 | Kirsten T Svejda, Psyd, LLC | Psychologist | 101 N Marion St Ste 202, Oak Park, IL 60301-1023 | 2020-03-02 |
| 1497397228 | Priebe Psychological & Wellness | Psychologist | 101 N Marion St Ste 201, Oak Park, IL 60301-1023 | 2019-10-14 |
| 1487200861 | Lisa Lombard | Psychologist | 332 N Scoville Ave, Oak Park, IL 60302-2263 | 2019-08-12 |
| 1376015396 | Susan Longley | Psychologist | 851 Washington Blvd Apt A2, Oak Park, IL 60302-3851 | 2019-01-02 |
| 1942703632 | Jaclyn Marie Patricia Fleck | Psychologist | 806 North Blvd Apt 202, Oak Park, IL 60301-1383 | 2018-03-09 |
| 1992162721 | Caitlin Wurster | Psychologist | 137 N Oak Park Ave Ste 302, Oak Park, IL 60301-1339 | 2016-01-25 |
| 1548636541 | Kari Terrill | Psychologist | 610 S Maple Ave Ste 5601, Oak Park, IL 60304-1091 | 2015-08-13 |
| 1386903193 | Amanda Kim | Psychologist | 530 Washington Blvd Apt 3e, Oak Park, IL 60302-4063 | 2012-05-14 |
| 1578839585 | Olga Mikhaylovna Slavin-spenny | Psychologist | 25900 Greenfield Rd Ste 502, Oak Park, MI 48237-1890 | 2012-03-25 |
| 1457639619 | James Galezewski and Associates | Psychologist | 1045 S Ridgeland Ave, Oak Park, IL 60304-2123 | 2011-07-21 |
| Find all providers in OAK PARK | ||||
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| 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.