Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Velisa Marie Johnson, PHD, ABPP-CN

Individual provider Clinical Neuropsychologist · NPI 1184892952

Dr. Velisa Marie Johnson, PHD, ABPP-CN is a Clinical Neuropsychologist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in California, Hawaii and Michigan.

Licensed in
CA, HI, MI
In the registry since
2008
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5030 Corporate Exchange Blvd SE Ste 201
Grand Rapids, MI 49512-5506
Phone: (616) 287-4164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 6301016552 (MI)
Psychologist Taxonomy 103T00000X
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 36373 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PSY-2300-0 (HI)

Record details

NPI number1184892952
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , ABPP-CN
Sole proprietorYes
NPI enumeratedFebruary 14, 2008
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

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