MR. RODERICK LYNN JOHNSON (NPI# 1821087784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821087784 |
| Entity Type | Individual |
| Full Name | MR. RODERICK LYNN JOHNSON |
| Other Name | RODERICK LYNN JOHNSON |
| Credential | M.A. |
| Practice Address |
181 W Michigan Ave Suite #3 Paw Paw MI 49079-1432 |
| Practice Telephone | 2696576025 |
| Practice Fax Number | 2696575198 |
| Mailing Telephone | 2696576025 |
| Mailing Fax Number | 2696575198 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301010127 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609365840 | Roderick Robert Johnson | Hearing Instrument Specialist | 600 Hospital Dr Ste 6, Clyde, NC 28721-8046 | 2018-05-03 |
| 1265949366 | Roderick Demont Johnson | Driver | 11237 Randleman Rd, Randleman, NC 27317-8091 | 2018-01-10 |
| 1780672915 | Roderick Verne Johnson | Counselor | 860 E 4500 S, Suite 302, Salt Lake City, UT 84107-3002 | 2005-10-11 |
| 1437209400 | Roderick Johnson | Counselor | 19530 Doctors Dr, Germantown, MD 20874-5200 | 2007-01-11 |
| 1417920786 | Roderick G Johnson | Specialist | 901 Leighton Ave, Ste. 702, Anniston, AL 36207-5700 | 2006-02-08 |
| Street Address |
181 W MICHIGAN AVE SUITE #3 |
| City | PAW PAW |
| State | MI |
| Zip Code | 49079-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905959 | Laurie Cone French | Social Worker | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2005-10-13 |
| 1811353717 | Scott Banghart | Counselor | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2016-01-07 |
| 1841672813 | Julie Mckinstry Waldron | Psychologist | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2015-06-25 |
| 1346526779 | Aaron Bronsink | Counselor | 181 W Michigan Ave, Suite 2, Paw Paw, MI 49079-1432 | 2011-10-31 |
| 1619022027 | Mapleview Consultation Center PC | Psychologist | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2007-01-24 |
| 1437229036 | Associated Therapy Consultants PC | Social Worker | 181 W Michigan Ave, Suite #2, Paw Paw, MI 49079-1432 | 2006-11-09 |
| 1710082243 | Tracy Lynn Wilson | Counselor | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2006-09-13 |
| 1386634509 | Corbin S. Irelan | Psychologist | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2005-10-27 |
| 1588654396 | Joyce Evalynne Tamer | Counselor | 181 W Michigan Ave, Suite #3, Paw Paw, MI 49079-1432 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359387 | Elizabeth Ann Heskett | Social Worker | Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 | 2019-01-07 |
| 1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
| 1558655464 | Tamayi Bwititi | Family Medicine | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2011-06-08 |
| 1942401047 | Jenny Adina Grunberg | Dentist | 54055 County Rd 653, Paw Paw, MI 49079 | 2007-05-29 |
| 1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
| 1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
| 1528029568 | Jayantilal J Bathani | Pediatrics | 505 Hazen St, Ste 203, Paw Paw, MI 49079 | 2006-03-29 |
| 1548231202 | Gregory Cassidy | Physician Assistant | 125 N Kalamazoo St, #82, Paw Paw, MI 49079 | 2006-01-31 |
| 1649782418 | Amber Bemis | Occupational Therapy Assistant | 801 Hazen Street, Suite C, Paw Paw, MI 49079 | 2017-11-01 |
| 1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
| Find all providers in zip 49079 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467544197 | Marilyn Joy Christensen | Psychologist | 215 N Kalamazoo Ave, Suite C, Paw Paw, MI 49079-1321 | 2006-09-29 |
| 1588902480 | Jennifer Chivon Milliken | Psychologist | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2013-01-28 |
| 1699925883 | Adriana Yellig | Psychologist | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2008-09-24 |
| 1235324112 | Michael Clement Horein | Psychologist | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2007-09-13 |
| 1619022027 | Mapleview Consultation Center PC | Psychologist | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2007-01-24 |
| 1154432029 | Wade Addam Kapik | Psychologist | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2006-08-31 |
| 1033220983 | Tisha Lynn Benton | Psychologist | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2006-08-31 |
| 1720199680 | Randall Warne Stewart | Psychologist | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2006-08-31 |
| 1790896637 | Linda Carol Sobol | Psychologist | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2006-08-31 |
| 1346225414 | Kathleen Ann Klinkner | Psychologist | 304 W Michigan Ave, Center for Change & Growth, Paw Paw, MI 49079-1012 | 2005-12-13 |
| Find all providers in PAW PAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.