John Jospeh Dejesus Jr.

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

KST3591 Issued in OH

Practice address

4 Grove Ave
Norwalk, OH 44857-1804

Phone

(419) 202-5278

NPI assigned

Dec 8, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1003779984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GROVE AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448571804",
            "telephone_number": "419-202-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GROVE AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448571804",
            "telephone_number": "419-202-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "JOHN",
        "middle_name": "JOSPEH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "OH",
            "license": "KST3591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher John Daugherty
• David C Livingston DC PA Inc
• Justin Dawson
• Suzann Kay Dayka, LSW
• Kellie L Deeter, CRNA
• Jamie M Dempsey, PA
• Angela Marie Denger, RN
• Heather A Dennis, NP-C
• Mary Dennison
• Christina Marie Dewitt, COTA/L

• Adult Development & Aging Psychologist in Norwalk, OH
• Providers in Norwalk, OH by specialty
• Adult Development & Aging Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.