DR. KIMBERLY C. JOHNSON (PSYD) – Clinical Neuropsychologist, NPI 1962500587

DR. KIMBERLY C. JOHNSON (PSYD) is a healthcare provider. based in Lewisville, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 32578 (TX). The NPI Number for DR. KIMBERLY C. JOHNSON (PSYD) is 1962500587

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY C. JOHNSON (PSYD)
NPI
1962500587
Phone
(469) 549-4200
Address
751 HEBRON PKWY
Enumeration Date
20 September 2006
Last Update Date
17 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4695494200
Graduation Year
2001 (25 years ago)
PAC ID
5597822338
Group Practice PAC ID
2769515873
Professional Enrollment ID
I20090324000253
Address ID
TX750575054LE751XXPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for DR. KIMBERLY C. JOHNSON (PSYD)

  • 751, Hebron Parkway, Lewisville, Denton County, Texas, 75057, United States

    SUITE 305D

    LEWISVILLE, TX 750575055

    Phone: (469) 549-4200

    Fax: (469) 549-4201

    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)

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: 2009-03-24

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
I20090324000253IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes17616$0
96133Evaluation of neuropsychological test, each additional hour12618$0
96132Evaluation of neuropsychological test, first hour3218$0
96116Exam of neurobehavioral status, first hour1717$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 75057)

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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: 2769515873View full group profile
NameSpecialtyState
Clinical PsychologistSC
Clinical PsychologistTX
Physical Medicine And RehabilitationTX
Clinical PsychologistTX
Clinical PsychologistPA

Reviews

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Frequently asked questions

Can I cross-check DR. KIMBERLY C. JOHNSON (PSYD) using NPI 1962500587?
NPI 1962500587 belongs to DR. KIMBERLY C. JOHNSON (PSYD); compare other details if you need extra assurance.
Is DR. KIMBERLY C. JOHNSON (PSYD) still an active registrant?
DR. KIMBERLY C. JOHNSON (PSYD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. KIMBERLY C. JOHNSON (PSYD)?
At a glance, DR. KIMBERLY C. JOHNSON (PSYD) is tied to Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where in Texas is DR. KIMBERLY C. JOHNSON (PSYD) registered?
Use Lewisville, Texas as the headline location for DR. KIMBERLY C. JOHNSON (PSYD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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