Summer Danielle Johnson, PSY.D.
NPI 1871786392ActiveIndividual· Psychologist· Wentzville, MO
Psychologist (PSY.D.) with Sondermind Provider Network LLC, practicing in Wentzville, Missouri. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1871786392 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 20, 2007 |
| Last updated in NPPES | May 7, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2007024935 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MO) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Sondermind Provider Network LLCColumbus, OH · 1,339 clinicians
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