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KERMIT JOHNSON
NPI 1154533230
Psychiatry & Neurology - Psychiatry in Oakland, CA

Active since May 03, 2007
568 W GRAND AVE, OAKLAND, CA 94612(510) 268-7837 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kermit Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERMIT JOHNSON (NPI 1154533230) is an individual psychiatry provider in Oakland, California, licensed in California (G45056) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1154533230
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameKERMIT JOHNSON
Location Address568 W GRAND AVEOakland, CA 94612-1618
Mailing Address43575 Mission Blvd # 106Fremont, CA 94539-5831
Phone(510) 268-7837
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154533230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · G45056
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
568 W GRAND AVE, Oakland, CA 94612
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTONIA K FOKKEN LMFT
Marriage & Family Therapist
568 W GRAND AVE
OAKLAND, CA 94612
Alameda County (510) 268-7332
AARON S. COHEN PH.D.
Psychologist
568 W GRAND AVE
OAKLAND, CA 94612
Alameda County (510) 268-7837
JOHN MANZOLATI
Psychologist (Clinical)
568 W GRAND AVE
OAKLAND, CA 94612
Alameda County (510) 268-7837
DR. MARYANN JACQUELINE D'ONOFRIO PH.D., MFT
Psychologist (Clinical)
568 W GRAND AVE
OAKLAND, CA 94612
Alameda County (510) 268-7837
MR. GERALD WALKER
Social Worker
568 W GRAND AVE
OAKLAND, CA 94612
Alameda County (510) 268-7337
TIMOTHY COOPER HENRY LCSW
Social Worker (Clinical)
568 W GRAND AVE
OAKLAND, CA 94612
Alameda County (510) 268-7837
MR. KEITH RAYMOND OLSON MFT
Marriage & Family Therapist
568 W GRAND AVE
OAKLAND, CA 94612
Alameda County (510) 268-7837
MS. EVELYN MICHIKO MIHATA RNMS
Registered Nurse (Psychiatric/Mental Health, Adult)
568 W GRAND AVE
OAKLAND, CA 94612
Alameda County (510) 268-7469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kermit Johnson's NPI number?

The NPI number for Kermit Johnson is 1154533230. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Kermit Johnson located?

Kermit Johnson practices at 568 W Grand Ave, Oakland, CA 94612. The listed phone number is (510) 268-7837.

What is Kermit Johnson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Kermit Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.