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Dr. Benjamin Johnson , PhD

Psychologist - Clinical β€’ Fernandina Beach, FL

Active NPI 1205926219 Individual Practitioner Male Practitioner
Practice location in NPPES

3019 Sea Marsh Rd
Fernandina Beach, FL 320345055

Call 4018291023 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3019 Sea Marsh Rd

Fernandina Beach, FL 320345055

Telephone 4018291023
Fax 4014450228
Other Listings in Public Data

NPPES lists 1 additional practice-address record in East Greenwich, RI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fernandina Beach and Florida

8 active clinicians are listed under Psychologist - Clinical with a practice address in Fernandina Beach, FL (2,985 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-30
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES RI PS00654

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

2605 Division Rd

East Greenwich, RI 028181232

Phone: 4018291023

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address April 30, 2024

Registered at 3019 SEA MARSH RD, FERNANDINA BEACH, FL 320345055 (Tel: 4018291023)

πŸ“
Updated Practice Location March 28, 2024

Registered at 3019 SEA MARSH RD, FERNANDINA BEACH, FL 320345055 (Tel: 4018291023)

πŸ“
Updated Business Mailing Address March 28, 2024

Registered at 1032 E BRANDON BLVD # 8192, BRANDON, FL 335115509 (Tel: 4018291023)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 1130 TEN ROD RD, SUITE E305, NORTH KINGSTOWN, RI 028524161 (Tel: 4012940451)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 2605 DIVISION RD, EAST GREENWICH, RI 028181232 (Tel: 4018859803)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as BENJAMIN JOHNSON, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (license number reported to NPPES: RI PS00654)

🟒
Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205926219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: April 30, 2024
Sole Proprietor: No

Mailing Address

3019 Sea Marsh Rd

Fernandina Beach, FL 320345055

Phone: 4018291023

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.