Individual provider Active NPI

Roderick Lynn Johnson, M.A.

  • Psychologist
  • Paw Paw, MI
National Provider Identifier
1821087784
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301010127 Issued in MI
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
6301010127MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mapleview Consultation Center PC Psychologist PastSince Mar 21, 2026 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.

Verify at the official NPI Registry.