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

Jeremiah Lloyd Johnson, MA

Individual provider Clinical Psychologist · NPI 1558670059

Jeremiah Lloyd Johnson, MA is a Clinical Psychologist in Redwood City, California. Qualified in 2015, 11 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
11
Licensed in
CA, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2686 Spring St
Redwood City, CA 94063-3522
Phone: (650) 368-9989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence TE61190395 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY28490 (CA)

Record details

NPI number1558670059
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedSeptember 30, 2010
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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