Glen Johnson, PH.D.
NPI 1992758353 · Clinical Psychologist · Traverse City, MI
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glen Johnson, PH.D. is a Clinical Psychologist provider in Traverse City, MI (NPI 1992758353).
Provider details
- NPI number
- 1992758353
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6301006001 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,249 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Psychological Or Neuropsychological Test By Technician, Each Additional 30 Minutes96139 | 529 | $32 |
| Evaluation of Neuropsychological Test, Each Additional Hour96133 | 397 | $93 |
| Exam of Neurobehavioral Status, Each Additional Hour96121 | 181 | $72 |
| Evaluation of Neuropsychological Test, First Hour96132 | 67 | $123 |
| Exam of Neurobehavioral Status, First Hour96116 | 61 | $88 |
| Administration of Psychological Or Neuropsychological Test By Technician, First 30 Minutes96138 | 14 | $31 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2007-07-08
Frequently asked questions
- What is Glen Johnson's NPI number?
- Glen Johnson's National Provider Identifier (NPI) is 1992758353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glen Johnson's specialty?
- Glen Johnson is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Glen Johnson located?
- Glen Johnson's practice location on file with NPPES is 5123 N Royal Dr, Traverse City, MI 49684-9201.
- What is Glen Johnson's phone number?
- The practice phone number listed in the NPPES registry for Glen Johnson is (231) 929-7358.
- Does Glen Johnson accept Medicare?
- Glen Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Glen Johnson's NPI active?
- Yes — Glen Johnson's NPI (1992758353) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.