Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033250980 Individual Practitioner Male Practitioner

Nick Johnson

Psychologist • Grayson, KY

Professional Overview & Biography Verified Profile Summary

Nick Johnson is a registered healthcare professional specializing in Psychologist in Grayson, KY. Practice services are available at 840 INTERSTATE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

840 Interstate Dr

Grayson, KY 411431768

Telephone 6064745151
Fax 6064753219
Associated Practice Facility / Clinic
🏢 Pathways, Inc. Facility NPI 1215368816

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Grayson, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Grayson, KY (567 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

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30610026 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Diedra Fields

Case Manager/Care Coordinator

NPI 1023866548
Rachel James

Counselor

NPI 1043882186
Charles Miller

Behavior Analyst

NPI 1053781351
Larissa Huey

Licensed Practical Nurse

NPI 1073208609
Kara Marsh

Counselor - Mental Health

NPI 1124623772
Peggy Rhoden , RN

Registered Nurse

NPI 1184256778

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2014

Registered at 840 INTERSTATE DR, GRAYSON, KY 411431768 (Tel: 6064745151)

📍
Updated Business Mailing Address November 07, 2014

Registered at PO BOX 790, ASHLAND, KY 411050790 (Tel: 6063298588)

👤
Provider Name / Credentials Updated November 07, 2014

Recorded as NICK JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2014

Psychologist

🟢
Initial NPI Registration & Enumeration February 12, 2007

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: 1033250980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2007
Last Update: November 07, 2014
Sole Proprietor: No

Mailing Address

Po Box 790

Ashland, KY 411050790

Phone: 6063298588

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.