DR. JEREMY T JOHNSON PH.D.
NPI 1730432931
Psychologist in Wpafb, OH

Active since October 25, 2012PECOS Enrolled
4881 SUGAR MAPLE DR, WPAFB, OH 45433(937) 257-1942 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeremy T Johnson Ph.d. NPPES

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

DR. JEREMY T JOHNSON PH.D. (NPI 1730432931) is an individual psychologist in Wpafb, Ohio and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730432931
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JEREMY T JOHNSONCredential: PH.D.
Location Address4881 SUGAR MAPLE DRWpafb, OH 45433-5529
Mailing Address4881 Sugar Maple DrWpafb, OH 45433-5529 · (937) 257-1942
Sole ProprietorYes
Enumeration DateOctober 25, 2012
Last NPPES UpdateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
NPI 1730432931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
4881 SUGAR MAPLE DR, Wpafb, OH 45433

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jeremy T Johnson Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433

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 Jeremy Johnson's NPI number?

The NPI number for Jeremy Johnson is 1730432931. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Jeremy Johnson located?

Jeremy Johnson practices at 4881 Sugar Maple Dr, Wpafb, OH 45433. The listed phone number is (937) 257-1942.

What is Jeremy Johnson's specialty?

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

Is Jeremy Johnson enrolled in Medicare?

Yes. Jeremy Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Johnson was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.