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

Ronald Bruce Johnson, PHD

Individual provider Clinical Psychologist · NPI 1598701906

Ronald Bruce Johnson, PHD is a Clinical Psychologist in Lodi, Wisconsin. Qualified in 1972, 54 years ago. Accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
54
Licensed in
WI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

336 Lodi St
Lodi, WI 53555-1418
Phone: (608) 592-2080
Fax: (608) 592-7120
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2177-057 (WI)

Record details

NPI number1598701906
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESMarch 18, 2013
Mailing address336 Lodi St, Lodi, WI 53555-1418

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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