Kimberly Dyanne Johnson, PSYD
NPI 1265086227ActiveIndividual· Psychologist· Glenmoore, PA
Psychologist (PSYD) in Glenmoore, Pennsylvania, licensed in PA, with an NPI issued in July 2019.
Overview
| NPI | 1265086227 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | Yes |
| NPI issued | Jul 29, 2019 |
| Last updated in NPPES | Apr 16, 2026 |
| Certified by provider | Apr 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PS018166 | PA |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — | — |
| Psychologist, Clinical | 103TC0700X | PS018166 | PA |
| Psychologist, Forensic | 103TF0200X | PS018166 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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