DR. KELLY MILLS JOHNSON PSY.D.
NPI 1194288753
Psychologist - Clinical in Oakland, CA

Q: What is Kelly Johnson's NPI number?

The NPI number for Kelly Johnson is 1194288753. It was assigned to this individual provider in the NPPES registry on April 10, 2019. The provider is also known as Dr. Kelly J Mills Psy.D..

Q: What is Kelly Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Johnson was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2019

1423 BROADWAY STE 136, OAKLAND, CA 94612(415) 294-0412 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2020, Apr 10, 2019 (2 updates tracked since 2019).

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About Dr. Kelly Mills Johnson Psy.d. NPPES

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

DR. KELLY MILLS JOHNSON PSY.D. (NPI 1194288753) is an individual clinical provider in Oakland, California, licensed in California (PSY30455) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1194288753

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELLY MILLS JOHNSONCredential: PSY.D.

Location Address1423 BROADWAY STE 136Oakland, CA 94612-2054

Mailing Address1423 Broadway Ste 136Oakland, CA 94612-2054 · (415) 294-0412

Phone(415) 294-0412

Sole ProprietorYes

Enumeration DateApril 10, 2019

Last NPPES UpdateAugust 31, 20212 updates tracked since enumeration

NPPES CertifiedAugust 31, 2021

✔ NPI 1194288753 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 CA · PSY30455

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.

1423 BROADWAY STE 136, Oakland, CA 94612

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Other Names 1

Former Name (1)Dr. Kelly J Mills Psy.d.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Johnson's NPI number?

The NPI number for Kelly Johnson is 1194288753. It was assigned to this individual provider in the NPPES registry on April 10, 2019. The provider is also known as Dr. Kelly J Mills Psy.D..

Where is Kelly Johnson located?

Kelly Johnson practices at 1423 Broadway Ste 136, Oakland, CA 94612. The listed phone number is (415) 294-0412.

What is Kelly Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kelly Johnson was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.