Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255199774 Individual Practitioner Male Practitioner

Dr. Kevin Johnson , PsyD

Psychologist • Troy, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Johnson, PsyD is a certified Psychologist practicing in Troy, MI. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Johnson delivers high-quality medical care to the local community at 363 W BIG BEAVER RD STE 400.

Dr. Johnson is affiliated with Mclaren Port Huron and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

363 W Big Beaver Rd Ste 400

Troy, MI 480845242

Telephone 2485097657

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Troy, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -7.8 yrs vs City Avg
City Avg: 15.8 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
78 Specialists

Practicing in Troy, MI (2669 Statewide)

Telehealth Adoption Rate
6.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (8 Years) 8 Yrs
Troy Specialty Average (15.8 Years) 15.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-03-08
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301019443

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.

Hospital & Practice Group Affiliations

Mclaren Port Huron

1313 Stone St, Port Huron, MI 480603520

Phone: 8109852640

Practice Associates & Co-Workers

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

4 Associated Practitioners
Elham Moghaddam

Psychologist

NPI 1407529654
NPI 1417616335

MALLP

NPI 1639760895

Doctor of Psychology (Psy.D.), Licensed Psychologist

NPI 1861818577

Licensed Limited Psychologist, Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 11, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2024

Registered at 363 W BIG BEAVER RD STE 400, TROY, MI 480845242 (Tel: 2485097657)

📍
Updated Business Mailing Address March 11, 2024

Registered at 363 W BIG BEAVER RD STE 400, TROY, MI 480845242 (Tel: 8103003178)

👤
Provider Name / Credentials Updated March 11, 2024

Recorded as KEVIN JOHNSON, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2024

Psychologist (License #6301019443 in MI)

🟢
Initial NPI Registration & Enumeration March 11, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kevin Johnson. Be the first to share your experience!

Sign in to leave a review for Dr. Kevin Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1255199774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2024
Last Update: March 11, 2024
Sole Proprietor: Yes

Mailing Address

363 W Big Beaver Rd Ste 400

Troy, MI 480845242

Phone: 8103003178

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.