DR. KATHRYN JOHANSSON PSYD
NPI 1639766173
Psychologist - Clinical in Cherry Hill, NJ

Active since December 30, 2020PECOS Enrolled
1030 KINGS HWY N STE 202, CHERRY HILL, NJ 08034(856) 341-9655 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2025, Aug 5, 2025, Jan 4, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Kathryn Johansson Psyd NPPES

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

DR. KATHRYN JOHANSSON PSYD (NPI 1639766173) is an individual clinical provider in Cherry Hill, New Jersey, licensed in New Jersey (35SI00778800) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639766173
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATHRYN JOHANSSONCredential: PSYD
Location Address1030 KINGS HWY N STE 202Cherry Hill, NJ 08034-1907
Mailing Address1030 Kings Hwy N Ste 202Cherry Hill, NJ 08034-1907
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 30, 2020
Last NPPES UpdateAugust 12, 20254 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1639766173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in NJ · 35SI00778800 Licensed in NC · 5835
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.
1030 KINGS HWY N STE 202, Cherry Hill, NJ 08034

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kathryn Johansson Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466922919
PECOS Enrollment IDI20260527000183
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1030 KINGS HWY N STE 202
CHERRY HILL, NJ 08034
Counselor (Professional)
1030 KINGS HWY N STE 202
CHERRY HILL, NJ 08034
Social Worker (Clinical)
1030 KINGS HWY N STE 202
CHERRY HILL, NJ 08034
Social Worker (Clinical)
1030 KINGS HWY N STE 202
CHERRY HILL, NJ 08034
Social Worker (Clinical)
1030 KINGS HWY N STE 202
CHERRY HILL, NJ 08034
Counselor (Professional)
1030 KINGS HWY N STE 202
CHERRY HILL, NJ 08034
Counselor (Mental Health)
1030 KINGS HWY N STE 202
CHERRY HILL, NJ 08034
Social Worker (Clinical)
1030 KINGS HWY N STE 202
CHERRY HILL, NJ 08034

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 Kathryn Johansson's NPI number?

The NPI number for Kathryn Johansson is 1639766173. It was assigned to this individual provider in the NPPES registry on December 30, 2020.

Where is Kathryn Johansson located?

Kathryn Johansson practices at 1030 Kings Hwy N Ste 202, Cherry Hill, NJ 08034. The listed phone number is (856) 341-9655.

What is Kathryn Johansson's specialty?

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

Is Kathryn Johansson enrolled in Medicare?

Yes. Kathryn Johansson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Johansson was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.