DR. RONALD STUART JOHNSON (PH.D.) – Clinical Psychologist, NPI 1306820915

DR. RONALD STUART JOHNSON (PH.D.) is a healthcare provider. based in Enid, Oklahoma. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 635 (NM). The NPI Number for DR. RONALD STUART JOHNSON (PH.D.) is 1306820915

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. RONALD STUART JOHNSON (PH.D.)
NPI
1306820915
Phone
(580) 234-8817
Address
3702 WILLOW LAKE LN
Enumeration Date
6 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5057221000
Graduation Year
1993 (33 years ago)
PAC ID
7315234200
Group Practice PAC ID
3173436409
Professional Enrollment ID
I20160920002576
Address ID
NM873015748GA516XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

196 CLINICAL PSYCHOLOGIST in OK

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Provider Addresses for DR. RONALD STUART JOHNSON (PH.D.)

  • 3702, Willow Lake Lane, Blanton, Enid, Garfield County, Oklahoma, 73703, United States

    ENID, OK 737031417

    Phone: (580) 234-8817

    Type: Mailing

  • Young Road, Enid, Garfield County, Oklahoma, 73705, United States

    71 MDOS/SGOML BUILDING 248

    ENID, OK 737055506

    Phone: (580) 213-7419

    Fax: (580) 213-6423

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160920002576IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 73703)

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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: 3173436409View full group profile
NameSpecialtyState
Internal MedicineMO
P O D I A T R YNM
Diagnostic RadiologyOH
-TX
-NM
Physician AssistantNM
-CO
Diagnostic RadiologyMI
Certified Registered Nurse Anesthetist (Crna)NM
-NM

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. RONALD STUART JOHNSON (PH.D.)?
DR. RONALD STUART JOHNSON (PH.D.) — NPI 1306820915 — is the standard way to identify this listing.
Can I rely on DR. RONALD STUART JOHNSON (PH.D.) being an active provider?
As of the registry snapshot, DR. RONALD STUART JOHNSON (PH.D.) is marked active.
What healthcare role does DR. RONALD STUART JOHNSON (PH.D.) hold?
Scheduling teams often label DR. RONALD STUART JOHNSON (PH.D.) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. RONALD STUART JOHNSON (PH.D.) based?
DR. RONALD STUART JOHNSON (PH.D.) is tied to Enid, Oklahoma in the data we show; additional addresses may exist on the full record.
Why does DR. RONALD STUART JOHNSON (PH.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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