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KEYONTA LATRISE JOHNSON- SIMS
NPI 1417749755
Psychologist - Adult Development & Aging in West Bend, WI

Active since May 21, 2025
1871 WALLACE LAKE RD, WEST BEND, WI 53090(414) 915-1531 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Keyonta Latrise Johnson- Sims NPPES

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

KEYONTA LATRISE JOHNSON- SIMS (NPI 1417749755) is an individual adult development & aging provider in West Bend, Wisconsin, licensed in Wisconsin (0020200) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1417749755
Entity TypeIndividualFemale
Primary Taxonomy103TA0700X
Provider Legal NameKEYONTA LATRISE JOHNSON- SIMS
Location Address1871 WALLACE LAKE RDWest Bend, WI 53090-9074
Mailing Address2144 N 33rd StMilwaukee, WI 53208-1426 · (414) 915-1531
Phone(414) 915-1531
Sole ProprietorYes
Enumeration DateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1417749755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers
Taxonomy Code103TA0700X
License✔ Licensed in WI · 0020200
Definition
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
1871 WALLACE LAKE RD, West Bend, WI 53090
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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 Keyonta Johnson- Sims's NPI number?

The NPI number for Keyonta Johnson- Sims is 1417749755. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Keyonta Johnson- Sims located?

Keyonta Johnson- Sims practices at 1871 Wallace Lake Rd, West Bend, WI 53090. The listed phone number is (414) 915-1531.

What is Keyonta Johnson- Sims's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

When was this NPI record last updated?

The NPPES record for Keyonta Johnson- Sims was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.