NPIMap

Organization Active NPI

Shawn Johnson, PH.D., LLC

  • Marriage & Family Therapist
  • Okemos, MI
National Provider Identifier
1003079369
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006045 Issued in MI
Legal business name
SHAWN JOHNSON, PH.D., LLC
Practice address
4111 Okemos Rd Ste 104
Okemos, MI 48864-3235
Phone
(517) 347-4755
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shawn Johnson, PH.D.NPI 1417110768
Title
Owner
Phone
(517) 347-4755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 4101006045 MI Primary

Addresses

Primary practice location

4111 Okemos Rd Ste 104
Okemos, MI 48864-3235

Mailing address

4111 Okemos Rd Ste 104
Okemos, MI 48864-3235
Phone (517) 347-4755

National Provider Directory

National Provider Directory

Locations

4111 Okemos Rd
Ste 104
Okemos, MI 48864
Phone (517) 347-4618

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1003079369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 OKEMOS RD STE 104",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643235",
            "telephone_number": "517-347-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 OKEMOS RD STE 104",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643235",
            "telephone_number": "517-347-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN JOHNSON, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-347-4755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.