DERICK JOHNSON
Nurse Practitioner (Psych/Mental Health)

Address: 9900 S Perry Ave, Chicago, IL 60628-1348

DERICK JOHNSON (NPI# 1154903920) 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) 1154903920
Entity Type Individual
Full Name MR. DERICK JOHNSON
Gender Male
Credential APRN
Practice Address 9900 S Perry Ave
Chicago
IL 60628-1348
Practice Telephone 3125453187
Mailing Address 9900 S Perry Ave
Chicago
IL 60628-1348
Mailing Telephone 3125453187
Certification Date 2021-04-22
Enumeration Date 2021-04-22
Last Update Date 2021-04-22
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
193400000X SINGLE SPECIALTY GROUP 209.022844 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9900 S PERRY AVE
City CHICAGO
State IL
Zip Code 60628-1348

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1841567377 Emma Goodman Pharmacist 10620 S. Halsted St, Chicago, IL 60628 2011-11-29
1184976623 Dalavia Edmon Pharmacist 9501 S King Dr, Chicago, IL 60628 2012-10-08
1770785644 Chicago Family Health Center, Inc. · Chicago Family Health Center Clinic/Center - Federally Qualified Health Center (FQHC) 120 W. 111th St., Chicago, IL 60628 2007-06-04
1659821221 Tca Health Care Dentist - Dental Public Health 1030 E. 130th St, Chicago, IL 60628 2016-10-07
1316156383 C G Rammohan Dmd PC · Southtown Dental Center Dentist 11004 S Halsted St, Chicago, IL 60628 2007-05-22
1285152801 Brittany Bellamy Developmental Therapist 10333 S Prairie, Chicago, IL 60628 2017-09-04
1528432697 Global Dialysis, LLC Registered Nurse - Dialysis, Peritoneal 9746 South Harvard Ave., Chicago, IL 60628 2015-11-30
1598293839 Denise Marie Mercherson Social Worker - Clinical 9561 S. Union, Chicago, IL 60628 2017-05-31
1871966382 Kirby Rehabilitation, Inc · Kirby Rehabilitation Clinic/Center - Rehabilitation, Substance Use Disorder 723 W. 111th St, Chicago, IL 60628 2015-11-05
1073097184 4every1 Lab Inc. Clinical Medical Laboratory 10723 S Halsted St, Chicago, IL 60628 2018-09-24
Find all in zip 60628

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326616988 Therese Grady Nurse Practitioner - Psych/Mental Health 3273 W Armitage Ave Apt 3r, Chicago, IL 60647-6576 2021-06-10
1699360289 Olajumoke Elizabeth Adekoya · Olajumoke Adewale Nurse Practitioner - Psych/Mental Health 1406 E 68th St Apt 3, Chicago, IL 60637-6235 2021-03-04
1821688417 Amy Lynn Chodorowski Nurse Practitioner - Psych/Mental Health 333 N Michigan Ave Ste 300, Chicago, IL 60601-3902 2021-01-19
1124628078 Adeluisa Yranela Nurse Practitioner - Psych/Mental Health 6159 W Eddy St, Chicago, IL 60634-4122 2020-10-29
1114549755 Maria Andreea Bordeianu Nurse Practitioner - Psych/Mental Health 6050 N California Ave, Chicago, IL 60659-3916 2020-05-16
1427694462 Tessa Schultz Nurse Practitioner - Psych/Mental Health 520 N Ridgeway Ave, Chicago, IL 60624-1232 2019-11-25
1114574886 Hyde Park Mental Wellness Nurse Practitioner - Psych/Mental Health 1525 E 55th St Ste 205, Chicago, IL 60615-5584 2019-08-19
1689232522 Sarah Ball Schrock Nurse Practitioner - Psych/Mental Health 3310 W Division St, Chicago, IL 60651-2301 2019-06-05
1770068421 Gian Bonador Nurse Practitioner - Psych/Mental Health 1134 W Granville Ave Apt 715, Chicago, IL 60660-5047 2018-09-28
1255856951 Alexandria Davis Nurse Practitioner - Psych/Mental Health 5555 S Woodlawn Ave, Chicago, IL 60637-1620 2017-08-03
Find all providers in CHICAGO

Competitor

Search similar providers

City CHICAGO
Zip Code 60628

Providers with similar names

NPI Name Taxonomy Address Enumeration
1669066395 Derick Dermatology, LLC Dermatology 230 Commons Dr, Geneva, IL 60134-2522 2021-02-23
1154998425 Derick Dermatology, LLC Dermatology 1133 South Blvd Ste 1, Oak Park, IL 60302-2998 2021-06-07
1164006706 Matthew S Johnson Dmd Pa · Johnson Family Dentistry Dentist 4206 N Roxboro St Ste 140, Durham, NC 27704-1868 2021-05-10
1669942140 Deanna Sigman Johnson · Dede Johnson Social Worker - Clinical 14745 Highway 29, Suite E, Li Berty Hill, Tx, TX 78642 2018-11-28
1760072847 Bradley Johnson · Brad Johnson Physician Assistant 9145 N Swan Cir, Brentwood, MO 63144-1161 2021-01-22
1629666151 Mikaela Johnson Johnson Vaal Lactation Consultant, Non-RN 5585 Cochran St Apt 188, Simi Valley, CA 93063-6561 2021-01-10
1972195238 Mary Johnson Utsman · Mary Bethany Johnson Marriage & Family Therapist 809 N Lafayette St Ste 200, Shelby, NC 28150-3978 2021-02-08
1790377455 Vicky Dees Johnson · Vicky Lynn Johnson Registered Nurse - Hospice 2366 Brida Lane Apt 102, Marianna, FL 32446-3244 2021-02-04
1437740271 Katherine Johnson Dennis · Katherine Johnson Marriage & Family Therapist 11750 Dublin Blvd Ste 101, Dublin, CA 94568-2820 2021-02-02
1063575264 Monica B Johnson · Monica Broadfoot Johnson Counselor - School 2238 E Ginter Road, Sunnyside Unified School District No 12, Tuscan, AZ 95706 2006-12-18

Improve Information

Please provide details on DERICK JOHNSON by submitting the form below, or post on facebook comments.

Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.

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.