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Jeremy T. Johnson, PH.D.

NPI 1730432931ActiveIndividual· Psychologist· Wpafb, OH

Psychologist (PH.D.) in Wpafb, Ohio, with an NPI issued in October 2012. Enrolled in Medicare as order and referring only - clinical psychologist.

Overview

NPI1730432931
StatusActive
Entity typeIndividual
CredentialPH.D.
Sole proprietorYes
NPI issuedOct 25, 2012
Last updated in NPPESJan 14, 2026
Certified by providerJan 14, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Clinical Psychologist (AL)

Medicare sources and data years

Other Psychologist providers in Wpafb

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