DR. SANDRA ELLEN JOHNSON CLAVELLI PSY.D.
NPI 1003023714
Psychologist - Clinical in Lake Villa, IL

Active since May 16, 2007
420 W. GRAND AVE, LAKE VILLA, IL 60046(847) 245-6469 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sandra Ellen Johnson Clavelli Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANDRA ELLEN JOHNSON CLAVELLI PSY.D. (NPI 1003023714) is an individual clinical provider in Lake Villa, Illinois, licensed in Illinois (71007250) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1003023714
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SANDRA ELLEN JOHNSON CLAVELLICredential: PSY.D.
Location Address420 W. GRAND AVELake Villa, IL 60046
Mailing Address2699 Hobson Rd Apt 6Woodridge, IL 60517-1550 · (847) 636-7637
Sole ProprietorYes
Enumeration DateMay 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1003023714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IL · 71007250
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

420 W. GRAND AVE, Lake Villa, IL 60046

Other Names 1

Former Name (1)Dr. Sandra Ellen Johnson Psy.d.

Accepted Insurance

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychologist
420 W. GRAND AVE
LAKE VILLA, IL 60046
Counselor (Mental Health)
420 W. GRAND AVE
LAKE VILLA, IL 60046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003023714, enumerated as an "individual" on May 16, 2007.

The provider is located at 420 W. GRAND AVE LAKE VILLA, IL 60046 and the phone number is (847) 245-6469.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.