Individual provider · Type 1 NPI

Derick Johnson, APRN

Psychiatric/Mental Health Nurse Practitioner · Chicago, IL

NPI number 1154903920 Active

Practice location

8543 S Stony Island Ave Ste 3
Chicago, IL 60617-2249

Call (312) 380-9808 Map

Mailing address

11713 S Maplewood Ave
Chicago, IL 60655-1524

Other practice locations

  • 9900 S Perry Ave, Chicago, IL 60628-1348 · (312) 545-3187

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X286201 (MT)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209.022844 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1154903920

Derick Johnson, APRN's National Provider Identifier is 1154903920, issued on Apr 22, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on May 5, 2026.