Susan Johannsen, PSYD
NPI 1063026417 · Clinical Psychologist · Mill Creek, WA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Johannsen, PSYD is a Clinical Psychologist provider in Mill Creek, WA (NPI 1063026417).
Provider details
- NPI number
- 1063026417
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- PY61085331 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1717 13th StEverett, WA 98201-1621Phone: (425) 297-5500
Registry dates
- Enumerated
- 2020-09-02
- Last updated
- 2023-02-16
- Certified
- 2023-02-16
Frequently asked questions
- What is Susan Johannsen's NPI number?
- Susan Johannsen's National Provider Identifier (NPI) is 1063026417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Johannsen's specialty?
- Susan Johannsen is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Susan Johannsen located?
- Susan Johannsen's practice location on file with NPPES is 15418 Maint Street, Mill Creek, WA 98012.
- What is Susan Johannsen's phone number?
- The practice phone number listed in the NPPES registry for Susan Johannsen is (425) 339-5453.
- Does Susan Johannsen accept Medicare?
- Susan Johannsen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Johannsen's NPI active?
- Yes — Susan Johannsen's NPI (1063026417) is active in the NPPES registry as of the last update on 2023-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.