DR. KEVIN JOHNSON PSYD
NPI 1255199774
Psychologist in Troy, MI

Active since March 11, 2024PECOS EnrolledAccepts Medicare Assignment
363 W BIG BEAVER RD STE 400, TROY, MI 48084(248) 509-7657 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin Johnson Psyd NPPES

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

DR. KEVIN JOHNSON PSYD (NPI 1255199774) is an individual psychologist in Troy, Michigan, licensed in Michigan (6301019443) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Mclaren Port Huron, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255199774
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KEVIN JOHNSONCredential: PSYD
Location Address363 W BIG BEAVER RD STE 400Troy, MI 48084-5242
Mailing Address363 W Big Beaver Rd Ste 400Troy, MI 48084-5242 · (810) 300-3178
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 8, 2024
NPI 1255199774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301019443
Definition
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.
363 W BIG BEAVER RD STE 400, Troy, MI 48084

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. Kevin Johnson Psyd 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 ID5991145260
PECOS Enrollment IDI20240503000471
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

Psychologist
363 W BIG BEAVER RD STE 400
TROY, MI 48084
Psychologist
363 W BIG BEAVER RD STE 400
TROY, MI 48084

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 Kevin Johnson's NPI number?

The NPI number for Kevin Johnson is 1255199774. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Kevin Johnson located?

Kevin Johnson practices at 363 W Big Beaver Rd Ste 400, Troy, MI 48084. The listed phone number is (248) 509-7657.

What is Kevin Johnson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kevin Johnson enrolled in Medicare?

Yes. Kevin 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 Kevin Johnson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kevin 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.

Is Kevin Johnson affiliated with any hospitals?

According to CMS data, Kevin Johnson is affiliated with Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Kevin Johnson was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.