Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Kenneth Lodge, PSYD

Individual provider Psychologist · NPI 1639421449

Dr. John Kenneth Lodge, PSYD is a Clinical Psychologist in Columbus, Ohio. Qualified in 2013, 13 years ago. Practices with Osu General Internal Medicine LLC, a 266-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2012
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1800 Zollinger Rd
Columbus, OH 43221-2849
Phone: (614) 293-2920
Fax: (614) 293-5167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3171 Beaver Vu Dr Ste B, Beavercreek, OH 45434-6368 — (937) 431-8014
  • 3840 Woodley Rd, Toledo, OH 43606 — (419) 531-3500

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 7194 (OH)

Record details

NPI number1639421449
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 4, 2012
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Osu General Internal Medicine Llc — 266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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