Michigan Magical

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MICHIGAN MAGICAL

Practice address

5870 Oakman Blvd
Detroit, MI 48204-3060

Phone

(313) 587-6940

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Jevon JohnsonNPI 1477329902

Title

Mental Health Specialist

Phone

(313) 587-6940

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jevon Johnson

  • Mental Health Counselor
  • Wayne, MI
  • NPI 1477329902
  NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1003678491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7048",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481217048",
            "telephone_number": "313-587-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 OAKMAN BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482043060",
            "telephone_number": "313-587-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MAGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEVON",
        "authorized_official_title_or_position": "MENTAL HEALTH SPECIALIST",
        "authorized_official_telephone_number": "313-587-6940"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Frontline Laboratory LLC
• Michigan Health Center PC
• Michigan Home Help Services LLC
• Michigan Infection Specialists PLLC
• Michigan Institute for Prevention and Intervention
• Michigan Medical Mall
• Michigan Medical Specialists PC
• Michigan Pain&Spine Clinic PLLC
• Michigan Pediatric Cardiovascular Surgeons PC
• Michigan Pediatric Surgery Associates P.C.

• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.