DR. RONALD R JOHNSON JR. PSY.D
NPI 1174528210
Psychologist - Clinical in Fayetteville, NC

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
2587 RAVENHILL DR, FAYETTEVILLE, NC 28303(910) 323-1543(910) 485-1257 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ronald R Johnson Jr. Psy.d NPPES

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

DR. RONALD R JOHNSON JR. PSY.D (NPI 1174528210) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (3148) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1174528210
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RONALD R JOHNSON JR.Credential: PSY.D
Location Address2587 RAVENHILL DRFayetteville, NC 28303-5451
Mailing Address2587 Ravenhill DrFayetteville, NC 28303-5451 · (910) 323-1543 · Fax (910) 485-1257
Fax(910) 485-1257
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJune 16, 2005
Last NPPES UpdateJuly 9, 2007
NPI 1174528210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NC · 3148
Definition
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.
2587 RAVENHILL DR, Fayetteville, NC 28303

Other Identifiers 5

Other046G5NC · Bcbs
OtherD8114NC · Medcost
Medicaid6107230NC
Other2212866NC · Cigna
Other344242NC · Managed Health Network

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ronald R Johnson Jr. Psy.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486783719
PECOS Enrollment IDI20100525001072
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
2587 RAVENHILL DR
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
2587 RAVENHILL DR
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
2587 RAVENHILL DR
FAYETTEVILLE, NC 28303
Physician Assistant
2587 RAVENHILL DR
FAYETTEVILLE, NC 28303
Psychologist (Prescribing (Medical))
2587 RAVENHILL DR
FAYETTEVILLE, NC 28303
Counselor (Mental Health)
2587 RAVENHILL DR
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
2587 RAVENHILL DR
FAYETTEVILLE, NC 28303
Psychiatry & Neurology (Psychiatry)
2587 RAVENHILL DR
FAYETTEVILLE, NC 28303

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 Ronald Johnson's NPI number?

The NPI number for Ronald Johnson is 1174528210. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Ronald Johnson located?

Ronald Johnson practices at 2587 Ravenhill Dr, Fayetteville, NC 28303. The listed phone number is (910) 323-1543.

What is Ronald Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ronald Johnson enrolled in Medicare?

Yes. Ronald Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ronald Johnson accept?

Health plans from Blue Cross and Blue Shield of NC list Ronald Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronald Johnson was last updated on July 9, 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.