MARK LAMONT JOHNSON
NPI 1609463801
Psychologist - Intellectual and Developmental Disabilities in Toledo, OH

Q: What is Mark Johnson's NPI number?

The NPI number for Mark Johnson is 1609463801. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Q: What is Mark Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

Q: When was this NPI record last updated?

The NPPES record for Mark Johnson was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 22, 2020

5626 CRESTHAVEN LN, TOLEDO, OH 43614(419) 810-4375 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mark Lamont Johnson NPPES

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

MARK LAMONT JOHNSON (NPI 1609463801) is an individual intellectual and developmental disabilities provider in Toledo, Ohio, licensed in Ohio (8702313) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1609463801

Entity TypeIndividualMale

Primary Taxonomy103TM1800X

Provider Legal NameMARK LAMONT JOHNSON

Location Address5626 CRESTHAVEN LNToledo, OH 43614-1241

Mailing Address5626 Cresthaven LnToledo, OH 43614-1241 · (419) 810-4375

Phone(419) 810-4375

Sole ProprietorYes

Enumeration DateDecember 22, 2020

NPPES CertifiedDecember 22, 2020

✔ NPI 1609463801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers

Taxonomy Code103TM1800X

License✔ Licensed in OH · 8702313

5626 CRESTHAVEN LN, Toledo, OH 43614

Open in Google Maps ↗

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 Mark Johnson's NPI number?

The NPI number for Mark Johnson is 1609463801. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Mark Johnson located?

Mark Johnson practices at 5626 Cresthaven Ln, Toledo, OH 43614. The listed phone number is (419) 810-4375.

What is Mark Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Mark Johnson was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.