Individual provider Active NPI

Nathaniel William Johns, MD

  • Child & Adolescent Psychiatry Physician
  • Lancaster, OH
National Provider Identifier
1942265947
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
35080820J Issued in OH
Practice address
1592 Granville Pike
Lancaster, OH 43130-1076
Phone
(740) 687-0835
Fax
(740) 687-9391
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 35080820J OH Primary

Addresses

Primary practice location

1592 Granville Pike
Lancaster, OH 43130-1076

Mailing address

1592 Granville Pike
Lancaster, OH 43130-1076
Phone (740) 687-0835

Other practice location 1

123 22nd St
Toledo, OH 43604-2706
Phone (419) 241-6191

Other identifiers 1

IdentifierTypeStateIssuer
000000222851OtherOHANTHEM BLUE CROSS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000412 OH Practitioner - Psychiatry 5799941530 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35080820JOHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region LLC CurrentSince Mar 1, 2018 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Mar 1, 2018 Accepting new patients
Renew Psychological Services Inc. Past Accepting new patients
Harbor Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

Organizations & group practices 6

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1942265947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 GRANVILLE PIKE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301076",
            "telephone_number": "740-687-0835",
            "fax_number": "740-687-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 GRANVILLE PIKE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301076",
            "telephone_number": "740-687-0835",
            "fax_number": "740-687-9391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 22nd St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436042706",
            "country_code": "US",
            "telephone_number": "419-241-6191",
            "fax_number": "419-255-5623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "NATHANIEL",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35080820J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS PIN",
            "identifier": "000000222851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.