Active NPIIndividual provider

Kystal N Johnson-Graham

Nurse Practitioner, Psych/Mental Health in Shelton, Connecticut

NPI Number1730071010
Practice location
26 Lark Ln, Shelton, CT 06484-2621
Fax
—
Last updated
September 24, 2026

Kystal Nicole Johnson-Graham is a Nurse Practitioner, Psych/Mental Health based in Shelton, CT. Kystal Nicole Johnson-Graham practices in Shelton, CT. The NPI Number for Kystal Nicole Johnson-Graham is 1730071010 and holds a License No. 18360 (CT). The current practice location address for Kystal Nicole Johnson-Graham is 26 Lark Ln, Shelton, CT 06484-2621 and can be reached out via phone at 203-705-8199.

Provider Profile Details

NPI Number
1730071010
Provider Name
Kystal Nicole Johnson-Graham
Provider Entity Type
Individual
Gender
Female
Address
26 Lark Ln, Shelton, CT 06484-2621
Phone Number
203-705-8199
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2025
Last Update Date
September 24, 2026
Certification Date
September 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Lark Ln
Shelton, CT 06484-2621
Zip
06484-2621
Phone Number
203-705-8199
Shelton, CT 06484Get directions →

Provider Business Mailing Address Details

Address
26 Lark Ln
Shelton, CT 06484-2621
City
Shelton
State
CT
Zip
06484-2621
Phone Number
203-705-8199

License Information

License Number
18360
License State
CT
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kystal N Johnson-Graham?

The NPI number of Kystal N Johnson-Graham is 1730071010. It was assigned on July 19, 2025 and is currently active in the NPPES registry.

What is the specialty of Kystal N Johnson-Graham?

Kystal N Johnson-Graham is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 18360.

Where does Kystal N Johnson-Graham practice?

The practice location is 26 Lark Ln, Shelton, CT 06484-2621. The office can be reached at 203-705-8199 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730071010 directly on the NPPES registry website.

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