DR. ROBERT WILLIAM JOHNSON (PH.D.) – Clinical Psychologist, NPI 1699030510

DR. ROBERT WILLIAM JOHNSON (PH.D.) is a healthcare provider. based in Fulton, Missouri. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. 2012001838 (MO). The NPI Number for DR. ROBERT WILLIAM JOHNSON (PH.D.) is 1699030510

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT WILLIAM JOHNSON (PH.D.)
NPI
1699030510
Phone
(573) 592-2663
Address
600 E 5TH ST
Enumeration Date
6 July 2012
Last Update Date
6 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5414652554
Graduation Year
2010 (16 years ago)
PAC ID
4688823123
Group Practice PAC ID
0547170383
Professional Enrollment ID
I20200213000573
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for DR. ROBERT WILLIAM JOHNSON (PH.D.)

  • 600 E 5TH ST

    MAIL STATION 300

    FULTON, MO 652511753

    Phone: (573) 592-2663

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65251)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547170383View full group profile

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Frequently asked questions

How do payers reference DR. ROBERT WILLIAM JOHNSON (PH.D.)?
For DR. ROBERT WILLIAM JOHNSON (PH.D.), use NPI 1699030510 as the unique 10-digit identifier.
Active or inactive — what applies to DR. ROBERT WILLIAM JOHNSON (PH.D.)?
You should see DR. ROBERT WILLIAM JOHNSON (PH.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. ROBERT WILLIAM JOHNSON (PH.D.)'s focus?
For DR. ROBERT WILLIAM JOHNSON (PH.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. ROBERT WILLIAM JOHNSON (PH.D.) located near Fulton?
DR. ROBERT WILLIAM JOHNSON (PH.D.) currently maps to Fulton, Missouri in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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