Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336269356 Individual Practitioner Male Practitioner

Kenneth Roger Johnson , MED

Psychologist - School • Maumee, OH

Professional Overview & Biography Verified Profile Summary

Kenneth Johnson, MED is a registered healthcare professional specializing in Psychologist - School in Maumee, OH. Practice services are available at 5757 MONCLOVA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5757 Monclova Rd
Suite 16c

Maumee, OH 435371863

Telephone 4198930300
Fax 4198910356
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Maumee, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Maumee, OH (1539 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 - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

State License OH 1023

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Psychologist - Clinical Child & Adolescent

NUCC Taxonomy Code: 103TC2200X

State License OH 1023

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Psychologist - Family

NUCC Taxonomy Code: 103TF0000X

State License OH 1023

A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License OH 1023

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.

Psychologist - Intellectual & Developmental Disabilities

NUCC Taxonomy Code: 103TM1800X

State License OH 1023

Definition to come...

Psychologist

NUCC Taxonomy Code: 103T00000X

State License OH 1023

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.

Psychologist - Health Service

NUCC Taxonomy Code: 103TH0100X

State License OH 1023

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0253854 (OH)

Practice Associates & Co-Workers

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

1 Associated Practitioners
James Kelly , MED

Psychologist

NPI 1134241151

Master of Education

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Psychologist (License #1023 in OH)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5757 MONCLOVA RD, SUITE 16C, MAUMEE, OH 435371863 (Tel: 4198930300)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2539 SHETLAND RD, TOLEDO, OH 436171635 (Tel: 4198414108)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH JOHNSON, M.ED

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

Psychologist (License #1023 in OH)

🟢
Initial NPI Registration & Enumeration March 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336269356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2007
Last Update: September 11, 2025
Sole Proprietor: Yes

Mailing Address

2539 Shetland Rd

Toledo, OH 436171635

Phone: 4198414108

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

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