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Active NPI 1205926219 Individual Practitioner Male Practitioner

Dr. Benjamin Johnson , PhD

Psychologist - Clinical • Fernandina Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Johnson, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Fernandina Beach, FL. Practice services are available at 3019 SEA MARSH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3019 Sea Marsh Rd

Fernandina Beach, FL 320345055

Telephone 4018291023
Fax 4014450228

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Fernandina Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.5 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Fernandina Beach, FL (3084 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-30
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License RI PS00654

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Practice Locations

2605 Division Rd

East Greenwich, RI 028181232

Phone: 4018291023

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address April 30, 2024

Registered at 3019 SEA MARSH RD, FERNANDINA BEACH, FL 320345055 (Tel: 4018291023)

📍
Updated Practice Location March 28, 2024

Registered at 3019 SEA MARSH RD, FERNANDINA BEACH, FL 320345055 (Tel: 4018291023)

📍
Updated Business Mailing Address March 28, 2024

Registered at 1032 E BRANDON BLVD # 8192, BRANDON, FL 335115509 (Tel: 4018291023)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1130 TEN ROD RD, SUITE E305, NORTH KINGSTOWN, RI 028524161 (Tel: 4012940451)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2605 DIVISION RD, EAST GREENWICH, RI 028181232 (Tel: 4018859803)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BENJAMIN JOHNSON, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PS00654 in RI)

🟢
Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205926219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: April 30, 2024
Sole Proprietor: No

Mailing Address

3019 Sea Marsh Rd

Fernandina Beach, FL 320345055

Phone: 4018291023

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.