Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kelly Mills Johnson, PSYD

Individual provider Clinical Psychologist · NPI 1194288753

Dr. Kelly Mills Johnson, PSYD is a Clinical Psychologist in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1423 Broadway Ste 136
Oakland, CA 94612-2054
Phone: (415) 294-0412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY30455 (CA)

Record details

NPI number1194288753
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedApril 10, 2019
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021

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