MR. KENNETH ROGER JOHNSON M.ED NPI 1336269356

NPI Information

  • NPI: 1336269356
  • Provider Name: MR. KENNETH ROGER JOHNSON, M.ED
  • Classification: Psychologist - 103TS0200X
  • Specialization: School
  • Entity Type: Individual
  • Address: 5757 MONCLOVA RD
    SUITE 16C
    MAUMEE, OH
    ZIP 43537
  • Phone: (419) 893-0300

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NPI Details

MR. Kenneth Roger Johnson, M.ED is a school psychologist in Maumee, OH. The provider is a psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development MR. Kenneth Roger Johnson, M.ED NPI is 1336269356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5757 MONCLOVA RD
SUITE 16C
MAUMEE, OH
ZIP 43537-863
Phone: (419) 893-0300
Fax: (419) 891-0356

The enumeration date for this NPI number is 3/31/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical1023OHIONo
2103TC2200XPsychologistClinical Child & Adolescent1023OHIONo
3103TF0000XPsychologistFamily1023OHIONo
4103TH0100XPsychologistHealth Service1023OHIONo
5103TM1800XPsychologistIntellectual and Developmental Disabilities1023OHIONo
6103T00000XPsychologist1023OHIONo
7103TS0200XPsychologistSchool1023OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10253854MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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