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

Mr. Kenneth Roger Johnson, MED

Individual provider Clinical Psychologist · NPI 1336269356

Mr. Kenneth Roger Johnson, MED is a Clinical Psychologist in Maumee, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2007
Specialties on file
7
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

5757 Monclova Rd Ste 16C
Maumee, OH 43537-1863
Phone: (419) 893-0300
Fax: (419) 891-0356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 1023 (OH)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1023 (OH)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 1023 (OH)
Family Psychologist Taxonomy 103TF0000X · Licence 1023 (OH)
Health Service Psychologist Taxonomy 103TH0100X · Licence 1023 (OH)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence 1023 (OH)
Psychologist Taxonomy 103T00000X · Licence 1023 (OH)

Record details

NPI number1336269356
Entity typeIndividual (Type 1)
GenderMale
Credentials MED
Sole proprietorYes
NPI enumeratedMarch 31, 2007
Last updated in NPPESSeptember 11, 2025

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