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

Dr. Kevin Johnson, PSYD

Individual provider Psychologist · NPI 1255199774

Dr. Kevin Johnson, PSYD is a Clinical Psychologist in Troy, Michigan. Qualified in 2018, 8 years ago. Practices with McLaren Port Huron, a 50-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2024
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

363 W Big Beaver Rd Ste 400
Troy, MI 48084-5242
Phone: (248) 509-7657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301019443 (MI)

Record details

NPI number1255199774
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMarch 11, 2024
Last updated in NPPESMarch 11, 2024
Certification dateMarch 8, 2024
Mailing address363 W Big Beaver Rd Ste 400, Troy, MI 48084-5242

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice McLaren Port Huron — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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