Gregory Scott Johnson, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6896 Issued in OH

Practice address

15050 Indian Hills Rd
Mount Vernon, OH 43050-8288

Phone

(614) 296-1730

NPI assigned

Nov 8, 2022

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• 360Team Counseling LLC

  • Psychologist
  • Perrysburg, OH
  • NPI 1881277242
  Medicare reassignment NPD
• 360Team Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Perrysburg, OH
  • NPI 1780267146

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1992413009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 INDIAN HILLS RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508288",
            "telephone_number": "614-296-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15050 INDIAN HILLS RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508288",
            "telephone_number": "614-296-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Fowler
• Morgan Jessup
• Job and Family Services
• John R Fowler DDS Inc
• Charla Sue Johnson, LPN
• Lindsey Johnson
• Raymond Johnson, PA-C
• Tatiyana Shauntia Renay Johnson
• Dyanna Rae Jones Vess, LPN
• Andrew Jones

• Psychologist in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.