Active NPI
Roderick Lynn Johnson, M.A.
- Psychologist
- Paw Paw, MI
National Provider Identifier
1821087784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301010127
- Practice address
- 181 W Michigan Ave
Suite #3
Paw Paw, MI 49079-1432 - Phone
- (269) 657-6025
- Fax
- (269) 657-5198
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301010127 | MI | Primary |
Addresses
Primary practice location
181 W Michigan Ave
Suite #3
Paw Paw, MI 49079-1432
Mailing address
181 W Michigan Ave
Suite #3
Paw Paw, MI 49079-1432
Phone (269) 657-6025
Other names 1
- Roderick Lynn Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010127 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mapleview Consultation Center PC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821087784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 W MICHIGAN AVE",
"address_2": "SUITE #3",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490791432",
"telephone_number": "269-657-6025",
"fax_number": "269-657-5198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MICHIGAN AVE",
"address_2": "SUITE #3",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490791432",
"telephone_number": "269-657-6025",
"fax_number": "269-657-5198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RODERICK",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301010127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RODERICK",
"last_name": "JOHNSON",
"middle_name": "LYNN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.